MS. JODIE MARIE KELLY (NP-C) – Family Nurse Practitioner, NPI 1609304187

MS. JODIE MARIE KELLY (NP-C) is a healthcare provider. based in Bay city, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 4704248731 (MI). The NPI Number for MS. JODIE MARIE KELLY (NP-C) is 1609304187

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. JODIE MARIE KELLY (NP-C)
NPI
1609304187
Phone
(989) 686-2800
Address
3720 KATALIN CT
Enumeration Date
30 May 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898399937
Graduation Year
2016 (10 years ago)
PAC ID
4082982459
Group Practice PAC ID
4385547751
Professional Enrollment ID
I20170608001449
Address ID
MI486402700MI920XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for MS. JODIE MARIE KELLY (NP-C)

  • 3720, Katalin Court, Bangor Township, Bay County, Michigan, 48706, United States

    BAY CITY, MI 487062106

    Phone: (989) 686-2800

    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 13 Open Payments records for all available years, with a total value of $258.

Total Amount is formed as General ($258) + Research ($0) + Ownership ($0) = $258.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($51).

Total Amount

$258

General + Research + Ownership

Payments

13

Total payment records

General Amount

$258

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-06-08

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
I20170608001449INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9172$0
99213Established patient office or other outpatient visit, 20-29 minutes5650$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3636$0
99215Established patient office or other outpatient visit, 40-54 minutes2624$0
G0444Annual depression screening, 5 to 15 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 48706)

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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: 4385547751View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MS. JODIE MARIE KELLY (NP-C)?
The federal identifier for MS. JODIE MARIE KELLY (NP-C) is NPI 1609304187.
Is MS. JODIE MARIE KELLY (NP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MS. JODIE MARIE KELLY (NP-C)'s specialty in plain language?
Clinically, the directory lists MS. JODIE MARIE KELLY (NP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. JODIE MARIE KELLY (NP-C)'s primary listing?
We display Bay City, Michigan because that is what the record indicates for MS. JODIE MARIE KELLY (NP-C).
What if Bay City, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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