KELLI BEAUDOIN (PA) – Physician Assistant, NPI 1891725495
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
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Provider Addresses for KELLI BEAUDOIN (PA)
Michigan Orthopedic Specialists, 21031, Michigan Avenue, Dearborn, Wayne County, Michigan, 48124, United States
SUITE 400-CREDENTIALING
DEARBORN, MI 481242339
Phone: (313) 277-6700
Fax: (313) 216-0176
Type: Mailing
Beaumont Breast Care Center - Dearborn, 18100, Oakwood Boulevard, Dearborn, Wayne County, Michigan, 48124, United States
SUITE 300
DEARBORN, MI 481244085
Phone: (313) 429-7977
Fax: (313) 429-7981
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2023-12-09 • Largest payer in this snapshot: Stryker Corporation ($48).
Total Amount
$48
General + Research + Ownership
Payments
2
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $48 |
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: 2005-07-29
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 |
|---|---|---|---|---|
| I20050729000065 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 104 | 16 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 89 | 82 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 34 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 11 | 11 | $0 |
Insurance plans in this area (ZIP 48124)
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