MS. KELLY EILIS LAVIN FNP
NPI 1174204044
Nurse Practitioner - Family in Saint Louis, MO
About Ms. Kelly Eilis Lavin Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY EILIS LAVIN FNP (NPI 1174204044) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2022045232) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Kelly Eilis Lavin Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Lavin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 1,133 clinicians in this Medicare group
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 577 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Health Hospital
Acute Care Hospitals · Detroit, MIHenry Ford Health Wyandotte Hospital
Acute Care Hospitals · Wyandotte, MIHenry Ford Health West Bloomfield Hospital
Acute Care Hospitals · West Bloomfield, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Lavin's NPI number?
The NPI number for Kelly Lavin is 1174204044. It was assigned to this individual provider in the NPPES registry on July 25, 2023.
Where is Kelly Lavin located?
Kelly Lavin practices at 620 S Taylor Ave Div Im Infectious Disease, Ste 100, Saint Louis, MO 63110. The listed phone number is (314) 747-1206.
What is Kelly Lavin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Lavin enrolled in Medicare?
Yes. Kelly Lavin 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.
Which organizations bill Medicare for Kelly Lavin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Lavin reassigns Medicare benefits to 2 organizations: Washington University (Saint Louis, MO) and Henry Ford Health System (Detroit, 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 Kelly Lavin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Lavin accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kelly Lavin 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.
Is Kelly Lavin affiliated with any hospitals?
According to CMS data, Kelly Lavin is affiliated with Henry Ford Health Hospital, Henry Ford Health Wyandotte Hospital and Henry Ford Health West Bloomfield Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Lavin was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Ms. Kelly Eilis Lavin, FNP · NPI 1174204044
Family physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 25, 2023.
## Identity
- **NPI:** 1174204044 (Entity type: Individual)
- **Enumerated:** July 25, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2022045232 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100, Saint Louis, MO 63110-1035
- **Phone:** (314) 747-1206 · **Fax:** (314) 222-6252
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Washington University (NPI 1992746903, Saint Louis, MO); Henry Ford Health System (NPI 1104900455, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Medicaid 420129228 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1174204044) · Data from the CMS NPPES public registry.