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Active NPI 1144543695 Individual Practitioner Female Practitioner

Kelly Marie Stephens , RN, NP

Nurse Practitioner • Simi Valley, CA

Professional Overview & Biography Verified Profile Summary

Kelly Stephens, RN, NP is a registered healthcare professional specializing in Nurse Practitioner in Simi Valley, CA. Practice services are available at 2755 ALAMO ST STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2755 Alamo St Ste 101

Simi Valley, CA 930651311

Telephone 8013617757
Associated Practice Facility / Clinic
🏢 Simi Medical Group, Inc Facility NPI 1346768025

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Simi Valley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.4 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Simi Valley, CA (8378 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 19629

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License CA 711642

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi
1144543695 (CA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Deepa Reddy , MD

Family Medicine

NPI 1609929397

Doctor of Medicine (M.D.)

Dr. William Lee , MD

Internal Medicine

NPI 1619960705

Doctor of Medicine (M.D.)

Mine Moosakhanian , FNP-C

Nurse Practitioner - Primary Care

NPI 1881310761

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2011

Registered at 2755 ALAMO ST STE 101, SIMI VALLEY, CA 930651311 (Tel: 8013617757)

📍
Updated Business Mailing Address February 02, 2011

Registered at 2755 ALAMO ST STE 101, SIMI VALLEY, CA 930651311 (Tel: 8013617757)

👤
Provider Name / Credentials Updated February 02, 2011

Recorded as KELLY STEPHENS, RN, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2011

Registered Nurse (License #711642 in CA)

🟢
Initial NPI Registration & Enumeration March 11, 2010

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: 1144543695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2010
Last Update: February 02, 2011
Sole Proprietor: Yes

Mailing Address

2755 Alamo St Ste 101

Simi Valley, CA 930651311

Phone: 8013617757

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.