Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Vander Veen, RN

Individual provider Nurse Practitioner · NPI 1457134868

Kelly Vander Veen, RN is a Nurse Practitioner in Marina, California. Qualified in 2024, 2 years ago. Practices with Mogo Urgent Care, a 20-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2023
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2930 2nd Ave Ste 120
Marina, CA 93933-6244
Phone: (831) 622-6935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95032694 (CA)

Record details

NPI number1457134868
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mogo Urgent Care — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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