Mrs Kellye Campos, NP - Medicare Nurse Practitioner in Santa Cruz, CA

Mrs Kellye Campos, NP is a medicare enrolled "Nurse Practitioner - Family" in Santa Cruz, 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 Dignity Health Medical Foundation and her current practice location is 1595 Soquel Dr Ste 400, Santa Cruz, California. You can reach out to her office (for appointments etc.) via phone at (831) 475-1111.

Mrs Kellye Campos is licensed to practice in California (license number 15403) 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 1073523361.

Contact Information

Mrs Kellye Campos, NP
1595 Soquel Dr Ste 400,
Santa Cruz, CA 95065-1724
(831) 475-1111
(831) 476-5020

Map and Direction




Provider's Profile

Full NameMrs Kellye Campos
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location1595 Soquel Dr Ste 400, Santa Cruz, 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:
  • Mrs Kellye Campos graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1073523361
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 03/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6204016074
  • Enrollment ID: I20110210000925

Medical Identifiers

Medical identifiers for Mrs Kellye Campos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073523361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 15403 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dominican HospitalSanta cruz, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dignity Health Medical Foundation78108006611199

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. Mrs Kellye Campos allows following entities to bill medicare on her behalf.
Entity NameDignity Health Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700803418
PECOS PAC ID: 7810800661
Enrollment ID: O20031107000709

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. Mrs Kellye Campos 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
Mrs Kellye Campos, NP
3400 Data Dr, Attn: Credentialing/payer Enrollment,
Rancho Cordova, CA 95670-7956

Ph: () -
Mrs Kellye Campos, NP
1595 Soquel Dr Ste 400,
Santa Cruz, CA 95065-1724

Ph: (831) 475-1111

Reviews and Comments


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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.