KELLY R DONOVAN (DO) – Family Medicine Physician, NPI 1215373451
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in MI
Provider Addresses for KELLY R DONOVAN (DO)
2585 W Houghton Lake Dr
Prudenville, MI 486519624
Phone: (989) 366-2900
Fax: (989) 366-1166
Type: Location
234 Lake St
Roscommon, MI 486539203
Phone: (989) 275-1200
Fax: (989) 275-1210
Type: Location
1200 W North Down River Rd Ste C
Grayling, MI 497388024
Phone: (989) 344-5910
Fax: (231) 935-3463
Type: Location
1250 E Michigan Ave
Grayling, MI 497387074
Phone: (989) 348-0550
Fax: (989) 348-0473
Type: Location
1100 E Michigan Ave
Grayling, MI 497381312
Phone: (989) 348-5461
Fax: (989) 348-5724
Type: Location
3040 Bourn St
Lewiston, MI 497568134
Phone: (989) 786-4877
Type: Location
3860 S Straits Hwy
Indian River, MI 497495146
Phone: (231) 238-0581
Type: Location
1996 Walden Dr
Gaylord, MI 497358241
Phone: (989) 731-4111
Type: Location
1293 E Parkdale Ave
Manistee, MI 496608904
Phone: (231) 398-1840
Fax: (231) 398-1835
Type: Location
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 496847823
Phone: (231) 935-8000
Fax: (231) 935-8099
Type: Location
550 MUNSON AVE
TRAVERSE CITY, MI 496863580
Phone: (231) 935-8686
Fax: (231) 935-8099
Type: Location
14734 Park Ave
Charlevoix, MI 497201927
Phone: (231) 547-6554
Type: Location
14719 W Upright St
Charlevoix, MI 497201949
Phone: (231) 547-3840
Type: Location
1391 E Parkdale Ave
Manistee, MI 496609352
Phone: (231) 398-1760
Type: Location
7985 S Mackinaw Trl
Cadillac, MI 496018111
Phone: (231) 876-6200
Type: Location
100 N Roland St
Mc Bain, MI 496579683
Phone: (231) 876-4600
Type: Location
9975 W Ottawa Ave
Empire, MI 496309618
Phone:
Type: Location
1321 S Mount Tom Rd
Mio, MI 486479518
Phone: (989) 344-5820
Type: Location
829 N Center Ave Ste 210
Gaylord, MI 497351599
Phone: (989) 731-7860
Type: Location
14705 W Upright St
Charlevoix, MI 497201949
Phone: (231) 547-8544
Type: Location
223 N Park St
Boyne City, MI 497121220
Phone: (231) 582-5314
Type: Location
1619 Anderson Rd
Petoskey, MI 497709256
Phone: (231) 417-6050
Fax: (231) 213-8749
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2023-08-02 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $29 |
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: 2016-09-08
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20160908001375 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48651)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Internal Medicine | MI |
Reviews
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