KELSEY ALEXANDRA KUSCH (PA-C) – Physician Assistant, NPI 1912564576
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KELSEY ALEXANDRA KUSCH (PA-C)
21213, Francis Street, Saint Clair Shores, Macomb County, Michigan, 48082, United States
SAINT CLAIR SHORES, MI 480821587
Phone: (586) 747-1402
Type: Location
21213 Francis St
Saint Clair Shores, MI 480821587
Phone: (586) 747-1402
Type: Location
36555 26 Mile Rd Ste 1100
Lenox, MI 480483186
Phone: (947) 523-4010
Type: Location
468 CADIEUX RD
GROSSE POINTE, MI 482301507
Phone: (313) 473-1605
Type: Location
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 480333849
Phone: (947) 522-1863
Type: Mailing
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: 2019-07-17
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 |
|---|---|---|---|---|
| I20190717001642 | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 52 | 51 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 16 | 16 | $0 |
Insurance plans in this area (ZIP 48082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| General Practice, Emergency Medicine | MI | |
| Emergency Medicine | OH | |
| - | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI |
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