VERONICA KELTY (RN) – Family Nurse Practitioner, NPI 1013729755

Family Nurse Practitioner

VERONICA KELTY (RN) is a healthcare provider. based in Clarkston, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 4704350174 (MI). The NPI Number for VERONICA KELTY (RN) is 1013729755

Main info

Female

1 Year Of Experience

Accepts Medicare Assignment

Name

VERONICA KELTY (RN)

NPI

1013729755

Phone

(248) 567-2334

Address

7111 DIXIE HWY # 142

Enumeration Date

21 January 2025

Last Update Date

26 October 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2485635735

Graduation Year

2025 (1 year ago)

PAC ID

0446746457

Group Practice PAC ID

9032532528

Professional Enrollment ID

I20251230000158

Address ID

MI483831864WH3050XRDXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience31

Completeness85

Years active:1State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for VERONICA KELTY (RN)

7111 DIXIE HWY # 142
CLARKSTON, MI 483462077
Phone: (248) 567-2334
Mailing address matches the actual address.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-30

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

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
I20251230000158	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.

Verify on CMS Revalidation Lookup Tool

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 48346)

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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: 9032532528View full group profile