SARAH KELLY PA-C
NPI 1104560457
Physician Assistant in Flint, MI

Active since April 22, 2022PECOS EnrolledAccepts Medicare Assignment
1170 CHARTER DR STE B, FLINT, MI 48532(810) 877-6343(810) 674-0044 Get Directions Write a Review

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

Record update history: May 26, 2026, Apr 22, 2022 (2 updates tracked since 2022).

About Sarah Kelly Pa-c NPPES

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

SARAH KELLY PA-C (NPI 1104560457) is an individual physician assistant in Flint, Michigan and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104560457
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSARAH KELLYCredential: PA-C
Location Address1170 CHARTER DR STE BFlint, MI 48532-3587
Mailing Address1170 Charter Dr Ste BFlint, MI 48532-3587 · (810) 877-6343 · Fax (810) 674-0044
Fax(810) 674-0044
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 22, 2022
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1104560457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1170 CHARTER DR STE B, Flint, MI 48532

Accepted 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

Sarah Kelly 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 ID5193170231
PECOS Enrollment IDI20231010003494
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48532 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 14

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

Physician Assistant
1170 CHARTER DR STE B
FLINT, MI 48532
Social Worker (Clinical)
1170 CHARTER DR STE B
FLINT, MI 48532
Social Worker (Clinical)
1170 CHARTER DR STE B
FLINT, MI 48532
Social Worker (Clinical)
1170 CHARTER DR STE B
FLINT, MI 48532
Physician Assistant (Medical)
1170 CHARTER DR STE B
FLINT, MI 48532
Social Worker (Clinical)
1170 CHARTER DR STE B
FLINT, MI 48532
Social Worker (Clinical)
1170 CHARTER DR STE B
FLINT, MI 48532
Social Worker (Clinical)
1170 CHARTER DR STE B
FLINT, MI 48532

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 Sarah Kelly's NPI number?

The NPI number for Sarah Kelly is 1104560457. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Sarah Kelly located?

Sarah Kelly practices at 1170 Charter Dr Ste B, Flint, MI 48532. The listed phone number is (810) 877-6343.

What is Sarah Kelly's specialty?

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

Is Sarah Kelly enrolled in Medicare?

Yes. Sarah Kelly 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.

What insurance does Sarah Kelly accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community list Sarah Kelly 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 Sarah Kelly was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.