KELLY LYNN OUELLETTE (OT) – Occupational Therapist, NPI 1003458423

KELLY LYNN OUELLETTE (OT) is a healthcare provider. based in Grand rapids, Michigan. specializing in Occupational Therapist. They hold the professional credentials OT. They hold a License No. 5201010533 (MI). The NPI Number for KELLY LYNN OUELLETTE (OT) is 1003458423

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KELLY LYNN OUELLETTE (OT)
NPI
1003458423
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
17 October 2019
Last Update Date
17 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6169356280
Graduation Year
2018 (8 years ago)
PAC ID
3375978430
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20200117000591
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY LYNN OUELLETTE (OT)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 15100, Whittaker Way, Grand Haven, Grand Haven Charter Township, Ottawa County, Michigan, 49417, United States

    GRAND HAVEN, MI 494178696

    Phone: (616) 935-6280

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI
Nurse PractitionerCO

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Frequently asked questions

How do I look up KELLY LYNN OUELLETTE (OT) by NPI?
Use NPI 1003458423 when you need to reference KELLY LYNN OUELLETTE (OT) in forms, claims, or directories.
Is KELLY LYNN OUELLETTE (OT) currently active in the NPI registry?
CMS-published data lists KELLY LYNN OUELLETTE (OT) as an active registrant.
What does KELLY LYNN OUELLETTE (OT) treat or focus on?
Patients typically see KELLY LYNN OUELLETTE (OT) under the specialty Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location shows for KELLY LYNN OUELLETTE (OT)?
We surface Grand Rapids, Michigan for KELLY LYNN OUELLETTE (OT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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