KEELY MARIE BLOSH (NP) – Nurse Practitioner, NPI 1013438530
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KEELY MARIE BLOSH (NP)
South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States
700 KMS PLACE
ANN ARBOR, MI 48108
Phone: (734) 936-2047
Type: Mailing
416 CONNABLE AVE
PETOSKEY, MI 497702212
Phone: (231) 487-4000
Fax: (231) 547-3424
Type: Mailing
East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States
3RD FLOOR CARDIOVASCULAR CENTER RECP C
ANN ARBOR, MI 481095864
Phone: (888) 287-1082
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 138 Open Payments records for all available years, with a total value of $3,751.
Total Amount is formed as General ($3,751) + Research ($0) + Ownership ($0) = $3,751.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($995).
Total Amount
$3,751
General + Research + Ownership
Payments
138
Total payment records
General Amount
$3,751
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-08-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170831001329 | I | Nurse Practitioner | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 48108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Hospitalist, Internal Medicine | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Hospitalist, Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Hospitalist, Critical Care (Intensivists) | MI | |
| - | OH | |
| Physician Assistant | MD |
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