Kellie Jean Amador, MSN - Medicare Nurse Practitioner in Modesto, CA

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Kellie Jean Amador, MSN is a medicare enrolled "Nurse Practitioner" in Modesto, California. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Stat Med Pc A California Medical Professional Corporation, Carbon Health Medical Group Of California Pc and her current practice location is 1441 Florida Avenue, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 578-1211.

Kellie Jean Amador is licensed to practice in California (license number 14991) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164477683.

Contact Information

Kellie Jean Amador, MSN
1441 Florida Avenue,
Modesto, CA 95350
(209) 578-1211
Not Available

Map and Direction




Provider's Profile

Full NameKellie Jean Amador
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location1441 Florida Avenue, Modesto, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kellie Jean Amador graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1164477683
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 09/21/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0042276891
  • Enrollment ID: I20041203000570

Medical Identifiers

Medical identifiers for Kellie Jean Amador such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164477683NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN538124 (California)Secondary
363L00000XNurse Practitioner 14991 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stat Med Pc A California Medical Professional Corporation185052853018
Carbon Health Medical Group Of California Pc9032340047289

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kellie Jean Amador allows following entities to bill medicare on her behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameStat Med Pc A California Medical Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891132106
PECOS PAC ID: 1850528530
Enrollment ID: O20140204000122
Entity NameCarbon Health Medical Group Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417294232
PECOS PAC ID: 9032340047
Enrollment ID: O20140314001276
Entity NameParhelion Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457025256
PECOS PAC ID: 5193199461
Enrollment ID: O20230328002319

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie Jean Amador is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kellie Jean Amador, MSN
2100 Powell St, Suite 900,
Emeryville, CA 94608-1826

Ph: (510) 350-2600		Kellie Jean Amador, MSN
1441 Florida Avenue,
Modesto, CA 95350

Ph: (209) 578-1211

Reviews and Comments


Nurse Practitioner Nurses in Modesto, CA

Anissa Brown,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Standiford Ave, Modesto, CA 95350
Phone: 209-676-3069    
Nameeta Heer,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1316 Celeste Dr, Modesto, CA 95355
Phone: 209-571-1055    
Mrs. Lois Elaine Lewis, RN NURSE PRACTITIONE
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 205 W Granger Ave, Modesto, CA 95350
Phone: 209-579-9930    Fax: 209-579-9941
Ms. Margaret Baker, FNPC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1448 Florida Ave, Modesto, CA 95350
Phone: 209-523-1884    Fax: 209-523-2566
Ms. Fantine Warda, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1700 Coffee Rd, Modesto, CA 95355
Phone: 209-526-4500    Fax: 209-572-7901
Shararah Aziz,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Standiford Ave, Modesto, CA 95350
Phone: 209-676-3069    
Sukhjit Kaur,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 801 17th St, Modesto, CA 95354
Phone: 209-251-0200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.