DR. KELLY LYNN WALSMA (MD) – Internal Medicine Physician, NPI 1215225321

DR. KELLY LYNN WALSMA (MD) is a healthcare provider. based in Los angeles, California. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 2011019861 (MO). The NPI Number for DR. KELLY LYNN WALSMA (MD) is 1215225321

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY LYNN WALSMA (MD)
NPI
1215225321
Phone
(323) 226-2622
Address
1983 MARENGO ST
Enumeration Date
11 July 2011
Last Update Date
12 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
66120020001122
Graduation Year
2011 (15 years ago)
PAC ID
5193952117
Group Practice PAC ID
4183978026
Professional Enrollment ID
I20170912001940
Address ID
CA913552001VA23845PKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,125 CRITICAL CARE (INTENSIVISTS) in CA

Provider Addresses for DR. KELLY LYNN WALSMA (MD)

  • 1983 MARENGO ST

    LOS ANGELES, CA 900331370

    Phone: (323) 226-2622

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: ABIOMED ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$13
View all Open Payments →|Open Payments Risk Radar →

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: 2017-09-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170912001940ICritical Care (Intensivists)CATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes16579$0
99292Critical care, each additional 30 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 90033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183978026View full group profile
NameSpecialtyState
P O D I A T R YCA
Family PracticeNV
Nurse PractitionerCA
Critical Care (Intensivists), Pulmonary DiseaseCA
-CO
-CA
Internal Medicine, Pulmonary DiseaseCA

Reviews

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Frequently asked questions

What NPI should I save for DR. KELLY LYNN WALSMA (MD)?
Save NPI 1215225321 if you need a stable reference for DR. KELLY LYNN WALSMA (MD).
Does this profile mean DR. KELLY LYNN WALSMA (MD) is currently active?
Yes — DR. KELLY LYNN WALSMA (MD) appears active in the national provider directory.
Does DR. KELLY LYNN WALSMA (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. KELLY LYNN WALSMA (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KELLY LYNN WALSMA (MD)?
The snapshot lists Los Angeles, California for DR. KELLY LYNN WALSMA (MD); download NPPES for the complete set.
What if Los Angeles, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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