KELSI LYN HOLLAND (PA) – Physician Assistant, NPI 1518455757
Physician Assistant
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NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
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Provider Addresses for KELSI LYN HOLLAND (PA)
999, Fairway Trails Drive, Brighton, Livingston County, Michigan, 48116, United States
BRIGHTON, MI 481161781
Phone: (734) 255-8333
Type: Mailing
McAuley Drive, Ypsilanti, Washtenaw County, Michigan, 48107, United States
YPSILANTI, MI 481971051
Phone: (734) 712-3456
Type: Location
3601 W 13 Mile Rd
Royal Oak, MI 480736712
Phone: (248) 898-5000
Type: Location
18101 Oakwood Blvd
Dearborn, MI 481244089
Phone: (313) 593-7000
Type: Location
24 FRANK LLOYD WRIGHT DRIVE
SUITE J2000
ANN ARBOR, MI 48105
Phone: (734) 747-6766
Fax: (734) 222-3100
Type: Mailing
14650 E OLD US HIGHWAY 12
SUITE 303
CHELSEA, MI 48118
Phone: (734) 475-4177
Fax: (734) 475-3520
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $1,051.
Total Amount is formed as General ($1,051) + Research ($0) + Ownership ($0) = $1,051.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($372).
Total Amount
$1,051
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,051
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $372 |
| REVANCE THERAPEUTICS, INC. | $225 |
| GlaxoSmithKline, LLC. | $121 |
| Stryker Corporation | $107 |
| Kerecis Limited | $79 |
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: 2023-08-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190108003730 | I | Physician Assistant | MI | TBD |
| I20230816001743 | I | Physician Assistant | TX | 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 48116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | FL | |
| Otolaryngology, Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | TX | |
| Physician Assistant | TX | |
| Plastic And Reconstructive Surgery, Hand Surgery | TX | |
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | TX |
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