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KELSEY PRINCE FNP
NPI 1124525571
Nurse Practitioner - Family in Grand Rapids, MI

Active since April 11, 2018PECOS Enrolled
80 68TH ST SE, GRAND RAPIDS, MI 49548(616) 391-8242 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2021, Oct 12, 2020, Sep 11, 2018 and 1 more (4 updates tracked since 2018).

About Kelsey Prince Fnp NPPES

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

KELSEY PRINCE FNP (NPI 1124525571) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704301615) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124525571
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY PRINCECredential: FNP
Location Address80 68TH ST SEGrand Rapids, MI 49548-6980
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 391-8242
Sole ProprietorNo
Enumeration DateApril 11, 2018
Last NPPES UpdateApril 9, 20214 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
✔ NPI 1124525571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704301615
80 68TH ST SE, Grand Rapids, MI 49548
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Prince Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelsey Prince reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bronson Methodist Hospital
38 mi
Physician Assistant
6220 W MAIN ST
Kalamazoo, MI 49009
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1417961137 (Michigan)
  • 34 clinicians in this Medicare group
NPI 1013089820 (269) 552-4212
Bronson Battle Creek Hospital
40 mi
Internal Medicine
300 NORTH AVE
Battle Creek, MI 49017
  • Reassigned Medicare billing, Michigan enrollment
  • 557 clinicians in this Medicare group
NPI 1093119638 (269) 245-8000
Bronson South Haven Hospital
44 mi
Family Medicine
950 S BAILEY AVE
South Haven, MI 49090
  • Reassigned Medicare billing, Michigan enrollment
  • 190 clinicians in this Medicare group
NPI 1174749170 (269) 637-5271

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 49548 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

EMILY ELIZABETH ZECIC PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
HEATHER ELIZABETH CHAPPELL DNP
Nurse Practitioner (Family)
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
SAMANTHA NICOLE LUBBERS PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
DANA LOSS PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
ASHLIE WILBON GYR FNP
Nurse Practitioner (Family)
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (877) 362-8362
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Emergency Medicine
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
CLAIRE MARGARET ESPARZA PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Emergency Medicine
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242

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 Kelsey Prince's NPI number?

The NPI number for Kelsey Prince is 1124525571. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Kelsey Prince located?

Kelsey Prince practices at 80 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 391-8242.

What is Kelsey Prince's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelsey Prince enrolled in Medicare?

Yes. Kelsey Prince is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelsey Prince's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Prince reassigns Medicare benefits to 3 organizations: Bronson Methodist Hospital (Kalamazoo, MI), Bronson Battle Creek Hospital (Battle Creek, MI) and Bronson South Haven Hospital (South Haven, MI). 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 Kelsey Prince's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelsey Prince was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.