MR. GEORGE MATTHEW MCKELLAR (NP-C) – Adult Health Nurse Practitioner, NPI 1609200278

MR. GEORGE MATTHEW MCKELLAR (NP-C) is a healthcare provider. based in Flint, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 4704219405 (MI). The NPI Number for MR. GEORGE MATTHEW MCKELLAR (NP-C) is 1609200278

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. GEORGE MATTHEW MCKELLAR (NP-C)
NPI
1609200278
Phone
(810) 238-4172
Address
G1071 N BALLENGER HWY
Enumeration Date
30 August 2013
Last Update Date
30 August 2013

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
8102384172
Graduation Year
2013 (13 years ago)
PAC ID
5294961454
Group Practice PAC ID
9234100835
Professional Enrollment ID
I20131115001706
Address ID
MI485071238FLG3404RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MR. GEORGE MATTHEW MCKELLAR (NP-C)

  • G1071 N BALLENGER HWY

    SUITE 310

    FLINT, MI 485044453

    Phone: (810) 238-4172

    Fax: (810) 424-3324

    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)

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: 2013-11-15

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
I20131115001706INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48504)

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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: 9234100835View full group profile
NameSpecialtyState
Nephrology, Internal MedicineMI
N E P H R O L O G YMI
Nephrology, Internal MedicineMI
Nurse PractitionerMI
Internal Medicine, NephrologyIL
Nephrology, Internal MedicineMI
Nurse PractitionerMI
N E P H R O L O G YMI

Reviews

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Frequently asked questions

Can I verify MR. GEORGE MATTHEW MCKELLAR (NP-C) with an NPI only?
You can start verification with NPI 1609200278 for MR. GEORGE MATTHEW MCKELLAR (NP-C), then check state licensing separately.
Does CMS list MR. GEORGE MATTHEW MCKELLAR (NP-C) as active?
Yes — MR. GEORGE MATTHEW MCKELLAR (NP-C) is active in the NPI listing used on this page.
What healthcare role does MR. GEORGE MATTHEW MCKELLAR (NP-C) hold?
Scheduling teams often label MR. GEORGE MATTHEW MCKELLAR (NP-C) under Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MR. GEORGE MATTHEW MCKELLAR (NP-C)?
MR. GEORGE MATTHEW MCKELLAR (NP-C)'s geographic hint is Flint, Michigan in our summary view.
Why does MR. GEORGE MATTHEW MCKELLAR (NP-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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