KELLY MARIE HEARNEY
NPI 1285072082
Student in an Organized Health Care Education/Training Program in Sacramento, CA

NPI Status: Active since June 13, 2013

Contact Information

4610 X ST
SACRAMENTO, CA
ZIP 95817
Phone: (916) 816-0492

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  • Individual
  • Female
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About KELLY HEARNEY

This page provides the complete NPI Profile along with additional information for Kelly Hearney, a primary care provider established in Sacramento, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1285072082 assigned on June 2013. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1285072082
Provider Name
KELLY MARIE HEARNEY
Gender
Female
Entity Type
Individual
Location Address
4610 X ST SACRAMENTO, CA 95817
Location Phone
(916) 816-0492
Mailing Address
4610 X ST SACRAMENTO, CA 95817
Mailing Phone
(916) 816-0492
Is Sole Proprietor?
No
Enumeration Date
06-13-2013
Last Update Date
12-17-2021
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A primary care provider (PCP) like Kelly Hearney sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Kelly Hearney is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for KELLY MARIE HEARNEY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285072082
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165074016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 0 + 7 + 4 + 0 + 1 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1285072082 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417275587UC DAVIS SCHOOL OF MEDICINE
Organization
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(916) 734-4110
1194089458UC DAVIS
Organization
Chronic Disease Hospital4610 X ST
SACRAMENTO, CA 95817
(916) 762-0779
1689922981UC DAVIS SCHOOL OF MEDICINE
Organization
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(916) 762-9462
1548507726UC DAVIS HEALTH SYSTEM
Organization
Chronic Disease Hospital4610 X ST
SACRAMENTO, CA 95817
(916) 734-2356
1538507595MISS HANG THIMONG VU
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(916) 816-0591
1336576297UC DAVIS SCHOOL OF MEDICINE
Organization
General Acute Care Hospital4610 X ST
SACRAMENTO, CA 95817
(916) 734-3204
1487077293 KEVIN MULLINS
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(916) 816-0536
1457776528MS. LYNSIE HARUMI ISHIMARU
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(916) 228-9959
1609286632 JESSICA HAMON
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(916) 875-5164
1508278813MR. NGHIEM BAO HA
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(408) 679-3675
1518379486 LIZBEETH LOPEZ
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(916) 494-1670
1598163693MR. KEVIN ALLEN DIAZ
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(916) 816-5769
1629381736 JENNIFER EILEEN MORLEY
Individual
Emergency Medicine4610 X ST
SACRAMENTO, CA 95817
(916) 734-2356
1588047625 MANJOT SANDHU
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(209) 670-6685
1851738785 KEISUKE NAKAGAWA
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(818) 521-6498
1174993042 CRYSTAL TAKADA
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(916) 816-1712
1407220098 PAUL SCIORTINO
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(415) 706-5143
1477911303 LILIA SANCHEZ
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(925) 381-8908
1740634062 KRYSTAL DE LA ROSA
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(323) 359-6539
1649627787 GABRIELA MONICO
Individual
Student in an Organized Health Care Education/Training Program4610 X ST
SACRAMENTO, CA 95817
(916) 734-4800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285072082, enumerated in the NPI registry as an "individual" on June 13, 2013

The provider is located at 4610 X St Sacramento, Ca 95817 and the phone number is (916) 816-0492

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on June 13, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.