KELLY MARIE JAMES (OD) – Optometrist, NPI 1154884385

KELLY MARIE JAMES (OD) is a healthcare provider. based in Hastings, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005374 (MI). The NPI Number for KELLY MARIE JAMES (OD) is 1154884385

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KELLY MARIE JAMES (OD)
NPI
1154884385
Phone
(269) 945-9724
Address
803 W STATE ST # M-43
Enumeration Date
14 April 2019
Last Update Date
21 October 2021

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
6163962316
Graduation Year
2019 (7 years ago)
PAC ID
9931435740
Group Practice PAC ID
6608957386
Professional Enrollment ID
I20190731001123
Address ID
MI494237722HO999XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,203 OPTOMETRY in MI

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Provider Addresses for KELLY MARIE JAMES (OD)

  • 803, West State Street, Hastings, Rutland Charter Township, Barry County, Michigan, 49058, United States

    HASTINGS, MI 490581660

    Phone: (269) 945-9724

    Type: Location

  • 8708, Bailey Drive Northeast, Fox's Mill, Ada Township, Kent County, Michigan, 49301, United States

    ADA, MI 493019636

    Phone: (616) 915-1240

    Type: Mailing

  • 999 WASHINGTON AVE

    HOLLAND, MI 494237722

    Phone: (616) 396-2316

    Fax: (616) 396-0085

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $276.

Total Amount is formed as General ($276) + Research ($0) + Ownership ($0) = $276.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($149).

Total Amount

$276

General + Research + Ownership

Payments

7

Total payment records

General Amount

$276

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-07-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190731001123IOptometryMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system206200$0
99213Established patient office or other outpatient visit, 20-29 minutes9586$0
92134Imaging of retina7674$0
92133Imaging of optic nerve6262$0
99214Established patient office or other outpatient visit, 30-39 minutes4848$0
View full utilization report →

Insurance plans in this area (ZIP 49058)

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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: 6608957386View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMI
-MI
O P T O M E T R YMI
O P H T H A L M O L O G YMI
O P T O M E T R YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for KELLY MARIE JAMES (OD)?
KELLY MARIE JAMES (OD) — NPI 1154884385 — is the standard way to identify this listing.
Does CMS list KELLY MARIE JAMES (OD) as active?
Yes — KELLY MARIE JAMES (OD) is active in the NPI listing used on this page.
What is KELLY MARIE JAMES (OD)'s primary classification?
Optometrist is the headline specialty for KELLY MARIE JAMES (OD) here. Clinical services aligned with this taxonomy classification.
Does KELLY MARIE JAMES (OD) list a practice location?
Patients near Hastings, Michigan may find KELLY MARIE JAMES (OD) in results; validate coverage separately.
Why does KELLY MARIE JAMES (OD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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