Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770822116 Individual Practitioner Female Practitioner

Haruka Kelley

Nurse Practitioner - Primary Care • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

Haruka Kelley is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Berkeley, CA. Practice services are available at 2500 MILVIA ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, administration of pneumococcal vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 Milvia St

Berkeley, CA 94704

Telephone 5102045600
Fax 5105067722
Associated Practice Facility / Clinic
🏢 Robert A. Fink, Md, Facs, Pc Facility NPI 1740237221

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.2 Yrs
State Avg: 8.3 Yrs
Regional Practice Density
10 Specialists

Practicing in Berkeley, CA (1139 Statewide)

Telehealth Adoption Rate
40.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
25 24 $226.00 $75.66

Medical Specialties & State Licenses

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License CA 95007416

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Medical License
NP95007416 (CA)

Secondary Practice Locations

10850 Macarthur Blvd

Oakland, CA 946055266

Phone: 5108752300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Dr. Laer Streeter , MD, MPH

Obstetrics & Gynecology

NPI 1023695087

Doctor of Medicine (M.D.), Master of Public Health

Dr. Angelyn Thomas , MD

Obstetrics & Gynecology

NPI 1033225636

Doctor of Medicine (M.D.)

Stephanie Tai , FNP, MSN, RN

Nurse Practitioner - Family

NPI 1043753957

Family Nurse Practitioner, Master of Science in Nursing, Registered Nurse

NPI 1144336355

Doctor of Medicine (M.D.)

Dr. Rachel Budker , MD

Obstetrics & Gynecology

NPI 1154908150

Doctor of Medicine (M.D.)

NPI 1205869286

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location April 29, 2019

Registered at 2500 MILVIA ST, BERKELEY, CA 94704 (Tel: 5102045600)

📍
Updated Business Mailing Address April 29, 2019

Registered at 2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 940406203 (Tel: 5102045600)

NPI Profile Active November 20, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address November 20, 2017

Registered at 4150 CLEMENT ST, SAN FRANCISCO, CA 941211563

📍
Updated Practice Location November 20, 2017

Registered at 10850 MACARTHUR BLVD, OAKLAND, CA 946055266 (Tel: 5108752300)

👤
Provider Name / Credentials Updated November 20, 2017

Recorded as HARUKA KELLEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2017

Nurse Practitioner (License #95007416 in CA)

NPI Profile Active February 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2013

Registered at 10850 MACARTHUR BLVD, OAKLAND, CA 946055266 (Tel: 5108752300)

📍
Updated Business Mailing Address February 05, 2013

Registered at 10850 MACARTHUR BLVD, OAKLAND, CA 946055266

👤
Provider Name / Credentials Updated February 05, 2013

Recorded as HARUKA KELLEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2013

Counselor

🟢
Initial NPI Registration & Enumeration February 05, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770822116
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2013
Last Update: April 29, 2019
Sole Proprietor: No

Mailing Address

2350 W El Camino Real Fl 2

Mountain View, CA 940406203

Phone: 5102045600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.