RACHAEL KELLEY (NP) – Nurse Practitioner, NPI 1891194114

RACHAEL KELLEY (NP) is a healthcare provider. based in Riverview, Michigan. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 4704279959 (MI). The NPI Number for RACHAEL KELLEY (NP) is 1891194114

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
RACHAEL KELLEY (NP)
NPI
1891194114
Phone
(734) 362-5143
Address
19020 FORT ST
Enumeration Date
22 August 2014
Last Update Date
4 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3133625100
Graduation Year
2014 (12 years ago)
PAC ID
6103046784
Group Practice PAC ID
4082600549
Professional Enrollment ID
I20141002000437
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for RACHAEL KELLEY (NP)

  • 19020 FORT ST

    RIVERVIEW, MI 481936701

    Phone: (734) 362-5143

    Fax: (734) 362-5155

    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: 2014-10-02

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
I20141002000437INurse 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 minutes3433$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus3029$0
99213Established patient office or other outpatient visit, 20-29 minutes1817$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 48193)

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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: 4082600549View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerMI
Internal MedicineMI
Family PracticeMI
-MI
Family PracticeMI
Physician AssistantMI

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Frequently asked questions

Is there an official ID for RACHAEL KELLEY (NP) in U.S. healthcare records?
The official identifier for RACHAEL KELLEY (NP) is NPI 1891194114.
Would RACHAEL KELLEY (NP) appear as active to a payer?
You can treat RACHAEL KELLEY (NP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe RACHAEL KELLEY (NP)'s focus?
For RACHAEL KELLEY (NP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Michigan is RACHAEL KELLEY (NP) registered?
Use Riverview, Michigan as the headline location for RACHAEL KELLEY (NP) here.
When was this NPI issued?
Enumeration for RACHAEL KELLEY (NP) is noted as August 22, 2014 where the registry provides it.

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