KELLY J GINGRAS (PA-C) – Physician Assistant, NPI 1972551935

KELLY J GINGRAS (PA-C) is a healthcare provider. based in Dearborn, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601005311 (MI). The NPI Number for KELLY J GINGRAS (PA-C) is 1972551935

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KELLY J GINGRAS (PA-C)
NPI
1972551935
Phone
(313) 982-5440
Address
18101 OAKWOOD BLVD
Enumeration Date
4 May 2006
Last Update Date
7 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3134731605
Graduation Year
2005 (21 years ago)
PAC ID
5698711141
Group Practice PAC ID
3072875889
Professional Enrollment ID
I20090609000100
Address ID
MI482301507GR468XXRDXX300

Contacts

Secure Messaging
ksmith59918@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for KELLY J GINGRAS (PA-C)

  • Beaumont Hospital - Dearborn, 18101, Oakwood Boulevard, Dearborn, Wayne County, Michigan, 48124, United States

    DEARBORN, MI 481244089

    Phone: (313) 982-5440

    Type: Location

  • 26901 BEAUMONT BLVD STE 3D

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: MY01 Inc. ($30).

Total Amount

$45

General + Research + Ownership

Payments

3

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

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: 2009-06-09

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
I20090609000100IPhysician AssistantMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3220$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 48124)

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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: 3072875889View full group profile

Reviews

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Frequently asked questions

Does KELLY J GINGRAS (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLY J GINGRAS (PA-C) uses 1972551935.
Is KELLY J GINGRAS (PA-C) listed as active for patients and plans?
The listing shows KELLY J GINGRAS (PA-C) as active in the NPI system.
What is KELLY J GINGRAS (PA-C) best known for clinically?
Directory data describes KELLY J GINGRAS (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for KELLY J GINGRAS (PA-C)?
KELLY J GINGRAS (PA-C)'s geographic hint is Dearborn, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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