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KELLY JO LUBBERS DNP, CPNP
NPI 1063188647
Nurse Practitioner - Pediatrics in Grandville, MI

Active since August 23, 2021
2845 44TH ST SW STE 200, GRANDVILLE, MI 49418(616) 538-2410 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2022, Aug 23, 2021 (2 updates tracked since 2021).

About Kelly Jo Lubbers Dnp, Cpnp NPPES

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

KELLY JO LUBBERS DNP, CPNP (NPI 1063188647) is an individual pediatrics provider in Grandville, Michigan, licensed in Michigan (212110859-3) and active in the NPI registry since August 2021. She maintains a secondary practice location in Hudsonville.

NPPES Registry Identity

NPI1063188647
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLY JO LUBBERSCredential: DNP, CPNP
Location Address2845 44TH ST SW STE 200Grandville, MI 49418-2678
Mailing Address5553 Stevendale DrHudsonville, MI 49426-8499 · (616) 540-6516
Phone(616) 538-2410
Sole ProprietorNo
Enumeration DateAugust 23, 2021
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
✔ NPI 1063188647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 212110859-3
2845 44TH ST SW STE 200, Grandville, MI 49418
Open in Google Maps ↗

Secondary Practice Location 1

Location 15553 Stevendale DrHudsonville, MI 49426-8499 · Phone (616) 540-6516

Accepted Insurance

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY ANN GRANTHAM DNP
Nurse Practitioner (Pediatrics)
2845 44TH ST SW STE 200
GRANDVILLE, MI 49418
Kent County (616) 538-2410

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 Lubbers's NPI number?

The NPI number for Kelly Lubbers is 1063188647. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Kelly Lubbers located?

Kelly Lubbers practices at 2845 44th St SW Ste 200, Grandville, MI 49418. The listed phone number is (616) 538-2410.

What is Kelly Lubbers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Kelly Lubbers accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Kelly Lubbers 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 Kelly Lubbers was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.