Kelli M Hiraoka, FNP-BC, RN in Gardena, CA - Medicare Nurse Practitioner

Kelli M Hiraoka, FNP-BC, RN is a medicare enrolled "Nurse Practitioner - Family" in Gardena, California. Her current practice location is 14111 Van Ness Ave Ste 2, Gardena, California. You can reach out to her office (for appointments etc.) via phone at (310) 516-9152.

Kelli M Hiraoka is licensed to practice in California (license number 95019659) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689041212.

Contact Information

	Kelli M Hiraoka, FNP-BC, RN
	14111 Van Ness Ave Ste 2, Gardena, CA 90249-2944
	(310) 516-9152
	(310) 329-2121

Map and Direction

Provider's Profile

Full Name	Kelli M Hiraoka
Gender	Female
Speciality	Nurse Practitioner - Family
Location	14111 Van Ness Ave Ste 2, Gardena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689041212
Provider Enumeration Date: 08/31/2015
Last Update Date: 07/22/2025

Medicare PECOS Information:

PECOS PAC ID: 8628379054
Enrollment ID: I20231117002009

Medical Identifiers

Medical identifiers for Kelli M Hiraoka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689041212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95019659 (California)	Primary

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. Kelli M Hiraoka allows following entities to bill medicare on her behalf.

Entity Name	Healthcare Partners Affiliates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258

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. Kelli M Hiraoka 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 Address	Practice Location Address
Kelli M Hiraoka, FNP-BC, RN 121 S Long Beach Blvd, Compton, CA 90221-3423 Ph: (310) 627-5850	Kelli M Hiraoka, FNP-BC, RN 14111 Van Ness Ave Ste 2, Gardena, CA 90249-2944 Ph: (310) 516-9152

Reviews and Comments

Nurse Practitioner Nurses in Gardena, CA

Starly Alvarado, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1045 W Redondo Beach Blvd Ste 300, Gardena, CA 90247 Phone: 323-241-6730
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Jina Ko Yang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1149 W 190th St, Gardena, CA 90248 Phone: 310-851-4705
Courtney Lynn Flores, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-532-4200
Selali Ziga, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15116 S Raymond Ave Apt 106, Gardena, CA 90247 Phone: 909-576-0190
Ms. Adaljiza Tavera, PMHNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102
Anna Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15803 S Maple Ave, Gardena, CA 90248 Phone: 310-469-4273

Kelli M Hiraoka, FNP-BC, RN - Medicare Nurse Practitioner in Gardena, CA