MRS. KELLY MCINTOSH PA-C
NPI 1023235520
Physician Assistant in West Bloomfield, MI

Q: What is Kelly Mcintosh's NPI number?

The NPI number for Kelly Mcintosh is 1023235520. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Q: What is Kelly Mcintosh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mcintosh was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment

6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322(248) 325-1000 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2021, Feb 12, 2021 (2 updates tracked since 2021).

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About Mrs. Kelly Mcintosh Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY MCINTOSH PA-C (NPI 1023235520) is an individual physician assistant in West Bloomfield, Michigan, licensed in Michigan (5601004080) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health West Bloomfield Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1023235520

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. KELLY MCINTOSHCredential: PA-C

Location Address6777 W MAPLE RDWest Bloomfield, MI 48322-3013

Mailing Address324 N Harvey StPlymouth, MI 48170-1223

Phone(248) 325-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateApril 19, 2007

Last NPPES UpdateFebruary 15, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2021

✔ NPI 1023235520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601004080

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6777 W MAPLE RD, West Bloomfield, MI 48322

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kelly Mcintosh Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436136611

PECOS Enrollment IDI20040706000885

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230302

Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

IRB MEDICAL EQUIPMENT LLC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

6777 W MAPLE RD, RM 60-01
WEST BLOOMFIELD, MI 48322

Oakland County (248) 862-7214

MELISSA ANNE BARACH AGCNS

Clinical Nurse Specialist