Kelli S Soto, APRN PMHNP-BC - Medicare Nurse Practitioner in Walnut, CA

Kelli S Soto, APRN PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Walnut, California. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brightside Medical Pc and her current practice location is 340 S Lemon Ave # 9892, Walnut, California. You can reach out to her office (for appointments etc.) via phone at (415) 403-2156.

Kelli S Soto is licensed to practice in Michigan (license number 4704336170) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942891353.

Contact Information

Kelli S Soto, APRN PMHNP-BC
340 S Lemon Ave # 9892,
Walnut, CA 91789-2706
(415) 403-2156
Not Available

Map and Direction




Provider's Profile

Full NameKelli S Soto
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location340 S Lemon Ave # 9892, Walnut, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelli S Soto graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1942891353
  • Provider Enumeration Date: 01/28/2021
  • Last Update Date: 12/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517312879
  • Enrollment ID: I20231006001908

Medical Identifiers

Medical identifiers for Kelli S Soto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942891353NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209.022741 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 837100 (Nevada)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0997034 (Colorado)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704336170 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brightside Medical Pc6608262464242

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 S Soto allows following entities to bill medicare on her behalf.
Entity NameBrightside Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801355482
PECOS PAC ID: 6608262464
Enrollment ID: O20230810004035

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 S Soto 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 AddressPractice Location Address
Kelli S Soto, APRN PMHNP-BC
340 S Lemon Ave # 9892,
Walnut, CA 91789-2706

Ph: (415) 403-2156
Kelli S Soto, APRN PMHNP-BC
340 S Lemon Ave # 9892,
Walnut, CA 91789-2706

Ph: (415) 403-2156

Reviews and Comments


Nurse Practitioner Nurses in Walnut, CA

Miss Jessie Armanda Linsenbardt,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 340 South Lemon Ave, Walnut, CA 91789
Phone: 503-914-0308    
Erwin Sampang, NP
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Practice Location: 731 Lyonwood Ave, Walnut, CA 91789
Phone: 562-481-5744    
Jinfae Jeng, NP
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Practice Location: 119 N Avenida Alipaz, Walnut, CA 91789
Phone: 909-837-0776    
Eun Jung Kim,
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Medicare: Not Enrolled in Medicare
Practice Location: 1115 Loxley Pl, Walnut, CA 91789
Phone: 909-762-4414    
Mr. Edik Avetyan, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 839 Watercress Ln, Walnut, CA 91789
Phone: 760-490-8036    
Piran Mehta, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 340 S Lemon Ave Unit 9892, Walnut, CA 91789
Phone: 415-651-3458    
Salina Esmail, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 844 Bridgewater Ln, Walnut, CA 91789
Phone: 909-936-4455    Fax: 909-595-3334

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.