KELLY JEAN BARCHESKI (MD) – Internal Medicine Physician, NPI 1659753101

KELLY JEAN BARCHESKI (MD) is a healthcare provider. based in Fremont, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301107788 (MI). The NPI Number for KELLY JEAN BARCHESKI (MD) is 1659753101

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELLY JEAN BARCHESKI (MD)
NPI
1659753101
Phone
(616) 391-3139
Address
212 S SULLIVAN AVE
Enumeration Date
22 June 2015
Last Update Date
28 February 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
2365756541
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20180322000647
Address ID
MI495463808GR5060XSEXX401
Telehealth
Yes

Contacts

Secure Messaging
kodonnell59711@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
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

7,218 INTERNAL MEDICINE in MI

Provider Addresses for KELLY JEAN BARCHESKI (MD)

  • 212 S SULLIVAN AVE

    FREMONT, MI 494121548

    Phone: (616) 391-3139

    Type: Location

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 426 MICHIGAN ST NE

    GRAND RAPIDS, MI 495035609

    Phone: (616) 267-8338

    Type: Location

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: 2018-03-22

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
I20180322000647IInternal MedicineMITBD

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 minutes11993$0
99213Established patient office or other outpatient visit, 20-29 minutes10079$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7474$0
83036Hemoglobin a1c level4130$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage2929$0
View full utilization report →

Insurance plans in this area (ZIP 49412)

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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: 0941513303View full group profile
NameSpecialtyState
Physician AssistantMI
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What federal number belongs to KELLY JEAN BARCHESKI (MD)?
The federal identifier for KELLY JEAN BARCHESKI (MD) is NPI 1659753101.
Is KELLY JEAN BARCHESKI (MD) active in the national directory?
KELLY JEAN BARCHESKI (MD)'s public NPI profile is in an active state.
What kind of provider is KELLY JEAN BARCHESKI (MD)?
The page reflects Internal Medicine Physician for KELLY JEAN BARCHESKI (MD). Clinical services aligned with this taxonomy classification.
What location shows for KELLY JEAN BARCHESKI (MD)?
We surface Fremont, Michigan for KELLY JEAN BARCHESKI (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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