MS. SANDRA KAY KELLY (AGACNP) – Gerontology Nurse Practitioner, NPI 1396103016

MS. SANDRA KAY KELLY (AGACNP) is a healthcare provider. based in Battle creek, Michigan. specializing in Gerontology Nurse Practitioner. They hold the professional credentials AGACNP. They hold a License No. 4704168821 (MI). The NPI Number for MS. SANDRA KAY KELLY (AGACNP) is 1396103016

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MS. SANDRA KAY KELLY (AGACNP)
NPI
1396103016
Phone
(269) 245-8446
Address
300 NORTH AVE
Enumeration Date
9 February 2016
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692458056
Graduation Year
2015 (11 years ago)
PAC ID
0345531349
Group Practice PAC ID
0547173478
Professional Enrollment ID
I20160622001853

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

Provider Addresses for MS. SANDRA KAY KELLY (AGACNP)

  • 300 NORTH AVE

    BATTLE CREEK, MI 490173307

    Phone: (269) 245-8446

    Fax: (269) 966-2485

    Mailing address matches the actual address.

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 $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-07-24 • Largest payer in this snapshot: Boston Scientific Corporation ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-24

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 49017)

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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: 0547173478View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerMI
Clinical Social WorkerMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
Physician AssistantMI
-MI
Cardiovascular Disease (Cardiology)MI
Clinical Social WorkerMI
U R O L O G YMI

Reviews

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Frequently asked questions

How do payers reference MS. SANDRA KAY KELLY (AGACNP)?
For MS. SANDRA KAY KELLY (AGACNP), use NPI 1396103016 as the unique 10-digit identifier.
Active or inactive — what applies to MS. SANDRA KAY KELLY (AGACNP)?
You should see MS. SANDRA KAY KELLY (AGACNP) as active in CMS-hosted NPPES data.
What area of care is associated with MS. SANDRA KAY KELLY (AGACNP)?
MS. SANDRA KAY KELLY (AGACNP)'s record emphasizes Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Michigan is MS. SANDRA KAY KELLY (AGACNP) registered?
Use Battle Creek, Michigan as the headline location for MS. SANDRA KAY KELLY (AGACNP) here.
When was this NPI issued?
Enumeration for MS. SANDRA KAY KELLY (AGACNP) is noted as February 9, 2016 where the registry provides it.

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