MRS. KELSEY DANIELLE NICHOLS OTR/L
NPI 1003304601
Occupational Therapist in Kalamazoo, MI
About Mrs. Kelsey Danielle Nichols Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELSEY DANIELLE NICHOLS OTR/L (NPI 1003304601) is an individual occupational therapist in Kalamazoo, Michigan, licensed in Michigan (5201009169) and active in the NPI registry since April 2018.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelsey Danielle Nichols Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelsey Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MI 49015
- Reassigned Medicare billing, Michigan enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KALAMAZOO, MI 49048
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelsey Nichols's NPI number?
The NPI number for Kelsey Nichols is 1003304601. It was assigned to this individual provider in the NPPES registry on April 29, 2018.
Where is Kelsey Nichols located?
Kelsey Nichols practices at 1521 Gull Rd, Kalamazoo, MI 49048. The listed phone number is (269) 226-7000.
What is Kelsey Nichols's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kelsey Nichols enrolled in Medicare?
Yes. Kelsey Nichols is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelsey Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Nichols reassigns Medicare benefits to Functional Kids Therapy Center LLC (Springfield, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Nichols accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kelsey Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelsey Nichols was last updated on April 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.