Kelly Knight, - Medicare Registered Nurse in Upland, CA

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Kelly Knight, is a medicare enrolled "Registered Nurse" in Upland, California. Her current practice location is 1004 W Foothill Blvd, Upland, California. You can reach out to her office (for appointments etc.) via phone at (909) 206-5956.

Kelly Knight is licensed to practice in California (license number 507183) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043990146.

Contact Information

Kelly Knight,
1004 W Foothill Blvd,
Upland, CA 91786-3774
(909) 206-5956
Not Available

Map and Direction




Provider's Profile

Full NameKelly Knight
GenderFemale
SpecialityRegistered Nurse
Location1004 W Foothill Blvd, Upland, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043990146
  • Provider Enumeration Date: 07/24/2023
  • Last Update Date: 04/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749723757
  • Enrollment ID: I20240619000247

Medical Identifiers

Medical identifiers for Kelly Knight such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043990146NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95028325 (California)Secondary
163W00000XRegistered Nurse 507183 (California)Primary

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 Knight allows following entities to bill medicare on her behalf.
Entity NameCaduceus Physicians Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497702724
PECOS PAC ID: 5294762654
Enrollment ID: O20050718001020
Entity NameVitality Ageless Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730657271
PECOS PAC ID: 6800135872
Enrollment ID: O20240920001696

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 Knight 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
Kelly Knight,
306 Vista Trucha,
Newport Beach, CA 92660-3519

Ph: (909) 644-6402		Kelly Knight,
1004 W Foothill Blvd,
Upland, CA 91786-3774

Ph: (909) 206-5956

Reviews and Comments


Registered Nurse Nurses in Upland, CA

Mrs. Shannon Lee Ynfante, RN FIRST ASSISTANT
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 999 San Bernardino Rd, Upland, CA 91786
Phone: 909-985-2811    
Jennifer Lynn Prina, FNP-C
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 974 W Foothill Blvd, Upland, CA 91786
Phone: 909-981-2273    
Ms. Donna Jean Lawrence-curry, RN CCP
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1423 N Palm Ave, Upland, CA 91786
Phone: 951-318-1173    
Karen Read, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1646 Winston Way, Upland, CA 91784
Phone: 909-992-8823    
Jay Valle, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 270 E 7th St, Upland, CA 91786
Phone: 909-224-3139    
Denise Valle, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 270 E 7th St Ste A, Upland, CA 91786
Phone: 909-224-3139    
Mrs. Rachel May Jimenez, MSN, FNP
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1042 N Mountain Ave # B233, Upland, CA 91786
Phone: 909-367-6130    

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.