CORTNEY KECKLEY (FNP-BC) – Family Nurse Practitioner, NPI 1194363770
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for CORTNEY KECKLEY (FNP-BC)
8831 VILLA LA JOLLA DR
LA JOLLA, CA 920371949
Phone: (858) 457-4480
Type: Location
1792 Garnet Ave
San Diego, CA 921093350
Phone: (858) 483-1489
Type: Location
1792 GARNET AVE
SAN DIEGO, CA 921093350
Phone: (858) 457-4480
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $129.
Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.
Last reported payment date: 2024-07-08 • Largest payer in this snapshot: PFIZER INC. ($110).
Total Amount
$129
General + Research + Ownership
Payments
2
Total payment records
General Amount
$129
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $110 |
| Lilly USA, LLC | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-02-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200207002422 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 12 | 12 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 12 | 12 | $0 |
Insurance plans in this area (ZIP 92037)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine, Gastroenterology | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| General Practice | CA |
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