RACHEL LYNN KELLEY (DO) – Family Medicine Physician, NPI 1740694850

RACHEL LYNN KELLEY (DO) is a healthcare provider. based in Detroit, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5101021127 (MI). The NPI Number for RACHEL LYNN KELLEY (DO) is 1740694850

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL LYNN KELLEY (DO)
NPI
1740694850
Phone
(313) 473-3800
Address
500 RENAISSANCE CTR STE R560
Enumeration Date
17 June 2014
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
9417482455
Graduation Year
2014 (12 years ago)
PAC ID
7911123419
Group Practice PAC ID
6406820026
Professional Enrollment ID
I20190802002755
Address ID
FL342058645BR701XXWXXX401

Contacts

Secure Messaging
rachelk@entofmanatee.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

4,418 FAMILY PRACTICE in MI

Provider Addresses for RACHEL LYNN KELLEY (DO)

  • 500 RENAISSANCE CTR STE R560

    DETROIT, MI 482431929

    Phone: (313) 473-3800

    Fax: (248) 964-0401

    Type: Location

  • 130 TOWN CENTER DR STE 203

    TROY, MI 480841744

    Phone:

    Type: Mailing

  • 701 MANATEE AVE W STE 202

    BRADENTON, FL 342058624

    Phone: (941) 748-2455

    Fax: (941) 746-4554

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $571.

Total Amount is formed as General ($571) + Research ($0) + Ownership ($0) = $571.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Medtronic, Inc. ($299).

Total Amount

$571

General + Research + Ownership

Payments

9

Total payment records

General Amount

$571

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2019-08-02

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
I20190802002755IFamily PracticeFLTBD

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
69210Removal of impacted ear wax635447$0
95165Professional service for preparation and provision of 1 or more antigens62020$0
99214Established patient office or other outpatient visit, 30-39 minutes534400$0
99213Established patient office or other outpatient visit, 20-29 minutes445325$0
95117Professional service for multiple injections of allergen37251$0
View full utilization report →

Insurance plans in this area (ZIP 48243)

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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: 6406820026View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YCT
Physician AssistantTN
-FL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
Nurse PractitionerFL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for RACHEL LYNN KELLEY (DO)?
RACHEL LYNN KELLEY (DO) — NPI 1740694850 — is the standard way to identify this listing.
Is RACHEL LYNN KELLEY (DO) listed as active for patients and plans?
The listing shows RACHEL LYNN KELLEY (DO) as active in the NPI system.
What taxonomy line describes RACHEL LYNN KELLEY (DO)?
For research purposes, treat RACHEL LYNN KELLEY (DO) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does RACHEL LYNN KELLEY (DO) serve?
RACHEL LYNN KELLEY (DO)'s listing highlights Detroit, Michigan; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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