KELSEY LYNN SALAZAR (PA-C) – Physician Assistant, NPI 1063998094
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for KELSEY LYNN SALAZAR (PA-C)
1 Ford Pl Ste 2E
Detroit, MI 482023450
Phone: (313) 874-4806
Fax: (313) 876-1305
Type: Location
2799 W GRAND BLVD # 5
DETROIT, MI 482022608
Phone: (313) 916-2194
Fax: (313) 916-7911
Type: Mailing
2799 W GRAND BLVD
DETROIT, MI 482022689
Phone: (313) 916-2500
Type: Location
3880 SALEM LAKE DR STE F
LONG GROVE, IL 600475292
Phone: (847) 719-2220
Fax: (847) 719-2265
Type: Mailing
3880, Salem Lake Drive, Long Grove, Lake County, Illinois, 60047, United States
LONG GROVE, IL 60047
Phone: (847) 719-2220
Fax: (847) 719-2265
Type: Location
3880 Salem Lake Dr
Long Grove, IL 60047
Phone: (847) 719-2220
Fax: (847) 719-2265
Type: Location
1 FORD PL STE 2E
DETROIT, MI 482023450
Phone: (313) 874-4806
Fax: (313) 876-1305
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $180.
Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($110).
Total Amount
$180
General + Research + Ownership
Payments
2
Total payment records
General Amount
$180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $110 |
| Ipsen Biopharmaceuticals, Inc | $70 |
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: 2022-03-01
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 |
|---|---|---|---|---|
| I20220301001120 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 165 | 81 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 25 | 19 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 22 | 14 | $0 |
Insurance plans in this area (ZIP 48202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Gastroenterology, Internal Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Clinical Social Worker | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Qualified Audiologist | MI | |
| O P H T H A L M O L O G Y | MI | |
| - | MI | |
| - | MI |
Reviews
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