KELSEY JOA
NPI 1164167805
Nurse Practitioner - Acute Care in Shelby Township, MI

Active since April 27, 2022PECOS EnrolledAccepts Medicare Assignment
50505 SCHOENHERR RD STE 290, SHELBY TOWNSHIP, MI 48315(586) 314-0080(877) 673-3562 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2025, Nov 8, 2024, Jan 19, 2023 and 2 more (5 updates tracked since 2022).

About Kelsey Joa NPPES

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

KELSEY JOA (NPI 1164167805) is an individual acute care provider in Shelby Township, Michigan, licensed in Michigan (4704323061) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164167805
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELSEY JOA
Location Address50505 SCHOENHERR RD STE 290Shelby Township, MI 48315-3141
Mailing Address10270 Clark RdDavisburg, MI 48350-2708 · (586) 314-0080 · Fax (877) 673-3562
Fax(877) 673-3562
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 27, 2022
Last NPPES UpdateMarch 11, 20255 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
NPI 1164167805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704323061
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704323061 (MI)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704323061 (MI)
50505 SCHOENHERR RD STE 290, Shelby Township, MI 48315

Secondary Practice Locations 2

Location 125689 Kelly Rd Ste 100Roseville, MI 48066-4993 · Phone (586) 314-0080 · Fax (877) 673-3562
Location 221000 E 12 Mile Rd Ste 112Saint Clair Shores, MI 48081-1156 · Phone (586) 314-0080 · Fax (877) 673-3562

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

Kelsey Joa 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 ID9234505157
PECOS Enrollment IDI20221018002380
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48315 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 5

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

Psychiatry & Neurology (Neurology)
50505 SCHOENHERR RD STE 290
SHELBY TOWNSHIP, MI 48315
Physician Assistant (Medical)
50505 SCHOENHERR RD STE 290
SHELBY TOWNSHIP, MI 48315
Internal Medicine (Pulmonary Disease)
50505 SCHOENHERR RD STE 290
SHELBY TOWNSHIP, MI 48315
Internal Medicine (Pulmonary Disease)
50505 SCHOENHERR RD STE 290
SHELBY TOWNSHIP, MI 48315
Internal Medicine (Pulmonary Disease)
50505 SCHOENHERR RD STE 290
SHELBY TWP, MI 48315

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 Joa's NPI number?

The NPI number for Kelsey Joa is 1164167805. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Where is Kelsey Joa located?

Kelsey Joa practices at 50505 Schoenherr Rd Ste 290, Shelby Township, MI 48315. The listed phone number is (586) 314-0080.

What is Kelsey Joa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kelsey Joa enrolled in Medicare?

Yes. Kelsey Joa 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 Kelsey Joa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kelsey Joa 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 Kelsey Joa was last updated on March 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.