KELLY MAGRUM (NP-C) – Family Nurse Practitioner, NPI 1043672587
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for KELLY MAGRUM (NP-C)
650 STEWART RD
MONROE, MI 481624222
Phone:
Type: Mailing
136 HELLE BLVD APT 113
DUNDEE, MI 481319414
Phone: (419) 367-9691
Type: Location
1 SEAGATE
STE 800
TOLEDO, OH 436041558
Phone: (419) 367-9691
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $186.
Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Novo Nordisk Inc ($136).
Total Amount
$186
General + Research + Ownership
Payments
3
Total payment records
General Amount
$186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $136 |
| Otsuka America Pharmaceutical, Inc. | $50 |
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: 2016-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160511001285 | I | Nurse Practitioner | OH | TBD |
| I20160721002339 | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 347 | 78 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 108 | 50 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 96 | 68 | $0 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 31 | 30 | $0 |
Insurance plans in this area (ZIP 48162)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Family Practice | OH | |
| Clinical Psychologist | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | OH | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MI |
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