DR. KELLY HOPPER (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1164082285

DR. KELLY HOPPER (AGACNP-BC) is a healthcare provider. based in Flint, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 4704283210 (MI). The NPI Number for DR. KELLY HOPPER (AGACNP-BC) is 1164082285

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY HOPPER (AGACNP-BC)
NPI
1164082285
Phone
(810) 732-8336
Address
4800 S SAGINAW ST
Enumeration Date
20 June 2019
Last Update Date
20 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8107329333116
Graduation Year
2019 (7 years ago)
PAC ID
9335474980
Group Practice PAC ID
5799779633
Professional Enrollment ID
I20190718001519
Address ID
MI485072677FL4800XSTXX408
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for DR. KELLY HOPPER (AGACNP-BC)

  • South Saginaw Street, Flint, Genesee County, Michigan, 48529, United States

    FLINT, MI 485072677

    Phone: (810) 732-8336

    Type: Location

  • 8123 TIPSICO TRL

    HOLLY, MI 484429144

    Phone:

    Type: Mailing

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: 2019-07-18

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
I20190718001519INurse PractitionerMITBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes9556$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2019$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2016$0
View full utilization report →

Insurance plans in this area (ZIP 48507)

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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: 5799779633View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMI
General SurgeryTX
Nurse PractitionerMI
A N E S T H E S I O L O G YMI
Orthopedic SurgeryMI
Nurse PractitionerMI
Interventional Radiology, Vascular SurgeryCT
Clinical PsychologistMI
Diagnostic RadiologyFL
Nurse PractitionerMI

Reviews

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Frequently asked questions

What federal number belongs to DR. KELLY HOPPER (AGACNP-BC)?
The federal identifier for DR. KELLY HOPPER (AGACNP-BC) is NPI 1164082285.
Is DR. KELLY HOPPER (AGACNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. KELLY HOPPER (AGACNP-BC)?
The page reflects Acute Care Nurse Practitioner for DR. KELLY HOPPER (AGACNP-BC). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KELLY HOPPER (AGACNP-BC)?
The snapshot lists Flint, Michigan for DR. KELLY HOPPER (AGACNP-BC); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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