KELSEY JOA – Acute Care Nurse Practitioner, NPI 1164167805
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for KELSEY JOA
21000 E 12 Mile Rd Ste 112
Saint Clair Shores, MI 480811156
Phone: (586) 314-0080
Fax: (877) 673-3562
Type: Location
25689 Kelly Rd Ste 100
Roseville, MI 480664993
Phone: (586) 314-0080
Fax: (877) 673-3562
Type: Location
6228 CRYSTAL DOWNS DR
GRAND BLANC, MI 484392688
Phone: (248) 568-0514
Type: Mailing
3601 W 13 MILE RD
ROYAL OAK, MI 480736712
Phone: (248) 898-5000
Type: Location
10270 CLARK RD
DAVISBURG, MI 483502708
Phone: (586) 314-0080
Fax: (877) 673-3562
Type: Mailing
50505 SCHOENHERR RD STE 290
SHELBY TOWNSHIP, MI 483153141
Phone: (586) 314-0080
Fax: (877) 673-3562
Type: Location
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: 2022-10-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221018002380 | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 48081)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | MI | |
| Pulmonary Disease | MI | |
| Pulmonary Disease | MI | |
| - | MI | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease | MI | |
| Pulmonary Disease, Internal Medicine | MI | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease | MI | |
| Pulmonary Disease | MI |
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