MARK WELLS KEMP DO
NPI 1053365064
Internal Medicine in South Haven, MI
About Mark Wells Kemp Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK WELLS KEMP DO (NPI 1053365064) is an individual internal medicine provider in South Haven, Michigan, licensed in Michigan (5101010415) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Houghton Lake.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 6
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)
Mark Wells Kemp Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Kemp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kalamazoo, MI 49008
- Reassigned Medicare billing, Michigan enrollment
- 96 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare 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.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH HAVEN, MI 49090
SOUTH HAVEN, MI 49090
SOUTH HAVEN, MI 49090
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 Mark Kemp's NPI number?
The NPI number for Mark Kemp is 1053365064. It was assigned to this individual provider in the NPPES registry on May 22, 2006.
Where is Mark Kemp located?
Mark Kemp practices at 955 S Bailey Ave Ste 200, South Haven, MI 49090. The listed phone number is (269) 639-2777.
What is Mark Kemp's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mark Kemp enrolled in Medicare?
Yes. Mark Kemp is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Kemp's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Kemp reassigns Medicare benefits to State Of Michigan Office Of Financial Management (Kalamazoo, 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 Mark Kemp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Kemp accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Mark Kemp 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 Mark Kemp was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Mark Wells Kemp, DO · NPI 1053365064
Internal Medicine physician in South Haven, Michigan. Individual provider, active in the CMS NPPES registry since May 22, 2006.
## Identity
- **NPI:** 1053365064 (Entity type: Individual)
- **Enumerated:** May 22, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 5101010415 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 955 S BAILEY AVE STE 200, South Haven, MI 49090-6743
- **Phone:** (269) 639-2777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Michigan Office Of Financial Management (NPI 1194736587, Kalamazoo, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2025
- **Other identifiers:** Medicaid 4878533 (MI); Medicaid 3409754 (MI); Medicaid 4183150 (MI); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1053365064) · Data from the CMS NPPES public registry.