KELSI HENDRICKSON PA
NPI 1023614823
Physician Assistant in Grand Haven, MI

Active since December 07, 2020PECOS EnrolledAccepts Medicare Assignment
15100 WHITTAKER WAY, GRAND HAVEN, MI 49417(616) 935-6210 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 4, 2023, Oct 6, 2023, Mar 11, 2022 and 2 more (5 updates tracked since 2020).

About Kelsi Hendrickson Pa NPPES

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

KELSI HENDRICKSON PA (NPI 1023614823) is an individual physician assistant in Grand Haven, Michigan, licensed in Michigan (5601010747) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Central Michigan College Of Medicine (2021).

NPPES Registry Identity

NPI1023614823
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSI HENDRICKSONCredential: PA
Location Address15100 WHITTAKER WAYGrand Haven, MI 49417-8696
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSCentral Michigan College Of MedicineGraduated 2021
Enumeration DateDecember 7, 2020
Last NPPES UpdateDecember 4, 20235 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
NPI 1023614823 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 · 5601010747
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.

15100 WHITTAKER WAY, Grand Haven, MI 49417

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

Kelsi Hendrickson Pa 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 ID5799182739
PECOS Enrollment IDI20210917002886
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services67 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services23 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49417 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Speech-Language Pathologist
15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
Occupational Therapist
15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
Physical Therapist
15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
Physical Therapist
15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
Family Medicine
15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
Social Worker (Clinical)
15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
Occupational Therapist
15100 WHITTAKER WAY
GRAND HAVEN, MI 49417
Internal Medicine
15100 WHITTAKER WAY
GRAND HAVEN, MI 49417

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 Kelsi Hendrickson's NPI number?

The NPI number for Kelsi Hendrickson is 1023614823. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Kelsi Hendrickson located?

Kelsi Hendrickson practices at 15100 Whittaker Way, Grand Haven, MI 49417. The listed phone number is (616) 935-6210.

What is Kelsi Hendrickson's specialty?

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

Is Kelsi Hendrickson enrolled in Medicare?

Yes. Kelsi Hendrickson 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.

Is Kelsi Hendrickson affiliated with any hospitals?

According to CMS data, Kelsi Hendrickson is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Kelsi Hendrickson was last updated on December 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.