DR. KELLY ANN MING MD
NPI 1023246915
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI
About Dr. Kelly Ann Ming Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY ANN MING MD (NPI 1023246915) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (4301095068) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Prairie Lakes Healthcare System, Inc, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kelly Ann Ming Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kelly Ming reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ida Grove, IA 51445
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Canton, SD 57013
- Reassigned Medicare billing, South Dakota enrollment
- 422 clinicians in this Medicare group
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 clinicians in this Medicare group
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 538 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prairie Lakes Healthcare System, Inc
Acute Care Hospitals · Watertown, SDMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 49008
KALAMAZOO, MI 49008
KALAMAZOO, MI 49008
KALAMAZOO, MI 49008
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 Kelly Ming's NPI number?
The NPI number for Kelly Ming is 1023246915. It was assigned to this individual provider in the NPPES registry on June 30, 2009.
Where is Kelly Ming located?
Kelly Ming practices at 1000 Oakland Dr, Kalamazoo, MI 49008. The listed phone number is (269) 337-4400.
What is Kelly Ming's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kelly Ming enrolled in Medicare?
Yes. Kelly Ming is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelly Ming's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Ming reassigns Medicare benefits to 4 organizations: Sanford Clinic (Ida Grove, IA), Sanford Health Network (Canton, SD), Sanford Medical Center (Sioux Falls, SD) and Banner Physician Specialists Arizona LLC (Phoenix, AZ). Each 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 Kelly Ming's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Ming accept?
Health plans from Blue Cross Blue Shield of North Dakota, Oscar Health Plan, Inc., Sanford Health Plan and Wellmark of South Dakota, Inc. list Kelly Ming 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.
Is Kelly Ming affiliated with any hospitals?
According to CMS data, Kelly Ming is affiliated with Prairie Lakes Healthcare System, Inc.
When was this NPI record last updated?
The NPPES record for Kelly Ming was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Kelly Ann Ming, MD · NPI 1023246915
Student in an Organized Health Care Education/Training Program provider in Kalamazoo, Michigan. Individual provider, active in the CMS NPPES registry since June 30, 2009.
## Identity
- **NPI:** 1023246915 (Entity type: Individual)
- **Enumerated:** June 30, 2009
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4301095068 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 OAKLAND DR, Kalamazoo, MI 49008-1282
- **Phone:** (269) 337-4400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sanford Clinic (NPI 1265457964, Ida Grove, IA); Sanford Health Network (NPI 1265718571, Canton, SD); Sanford Medical Center (NPI 1093090342, Sioux Falls, SD); Banner Physician Specialists Arizona LLC (NPI 1033730429, Phoenix, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** June 30, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1023246915) · Data from the CMS NPPES public registry.