KELLY SCHULTZ (PA-C) – Physician Assistant, NPI 1861975476
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for KELLY SCHULTZ (PA-C)
2600 HERITAGE WAY
STEVENSVILLE, MI 491278752
Phone:
Type: Mailing
1234 Napier Ave
Saint Joseph, MI 490852112
Phone: (269) 983-8300
Type: Location
PO BOX 40412
BELFAST, ME 049151255
Phone: (248) 824-6500
Fax: (855) 618-6655
Type: Mailing
2725 AIRVIEW BLVD STE 105
PORTAGE, MI 490021804
Phone: (269) 349-8386
Fax: (269) 349-8397
Type: Location
Lakeland Medical Center, 1234, Napier Avenue, Saint Joseph, Berrien County, Michigan, 49085, United States
SAINT JOSEPH, MI 490852112
Phone: (269) 983-8300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-02-20 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $16 |
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: 2018-12-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181207001083 | I | Physician Assistant | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 52 | 32 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 36 | 36 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 12 | 12 | $0 |
Insurance plans in this area (ZIP 49127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | MI | |
| - | OH | |
| - | WI | |
| Nurse Practitioner | KY | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Internal Medicine | WI | |
| - | VA | |
| - | MI |
Reviews
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