Kelly Yvette Hines-stellisch, FNP-C in Glendale, CA

Kelly Yvette Hines-stellisch, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Glendale, California. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Seaside Emergency Associates and her current practice location is 1812 Verdugo Blvd, Glendale, California. You can reach out to her office (for appointments etc.) via phone at (818) 790-7100.

Kelly Yvette Hines-stellisch is licensed to practice in California (license number NP95009132) 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 1235623851.

Contact Information

	Kelly Yvette Hines-stellisch, FNP-C
	1812 Verdugo Blvd, Glendale, CA 91208-1407
	(818) 790-7100
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Yvette Hines-stellisch
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	1812 Verdugo Blvd, Glendale, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Yvette Hines-stellisch graduated from nursing school in 2015

NPI Data:

NPI Number: 1235623851
Provider Enumeration Date: 06/18/2018
Last Update Date: 05/06/2022

Medicare PECOS Information:

PECOS PAC ID: 7911246665
Enrollment ID: I20190225002474

Medical Identifiers

Medical identifiers for Kelly Yvette Hines-stellisch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235623851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95009132 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Seaside Emergency Associates	8527385061	16

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. Kelly Yvette Hines-stellisch allows following entities to bill medicare on her behalf.

Entity Name	County Of Ventura
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

Entity Name	Seaside Emergency Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639577802 PECOS PAC ID: 8527385061 Enrollment ID: O20150323001317

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. Kelly Yvette Hines-stellisch 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 Address	Practice Location Address
Kelly Yvette Hines-stellisch, FNP-C Po Box 31309, Los Angeles, CA 90031-0309 Ph: (818) 790-7100	Kelly Yvette Hines-stellisch, FNP-C 1812 Verdugo Blvd, Glendale, CA 91208-1407 Ph: (818) 790-7100

Reviews and Comments

Nurse Practitioner Nurses in Glendale, CA

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Yu-ching Karen Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1122 E Broadway, Glendale, CA 91205 Phone: 866-389-2727
Lauralie Johnson, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 S Central Ave Ste 100, Glendale, CA 91204 Phone: 818-660-4490
Mrs. Kristine Ghazarian, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 435 Arden Ave Ste 550, Glendale, CA 91203 Phone: 818-242-3916

Kelly Yvette Hines-stellisch, FNP-C - Medicare Nurse Practitioner in Glendale, CA