KELLY R DONOVAN DO
NPI 1215373451
Family Medicine in Traverse City, MI

Active since May 15, 2013PECOS EnrolledAccepts Medicare Assignment
550 MUNSON AVE, TRAVERSE CITY, MI 49686(231) 935-8686(231) 935-8099 Get Directions Write a Review

NPPES record last updated: August 16, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 16, 2025, May 2, 2024, Apr 26, 2024 and 5 more (8 updates tracked since 2020).

About Kelly R Donovan Do NPPES

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

KELLY R DONOVAN DO (NPI 1215373451) is an individual family medicine provider in Traverse City, Michigan, licensed in Michigan (5101020231) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and maintains 20 additional practice locations.

NPPES Registry Identity

NPI1215373451
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY R DONOVANCredential: DO
Location Address550 MUNSON AVETraverse City, MI 49686-3580
Mailing Address1400 Medical Campus DrTraverse City, MI 49684-7823 · (231) 935-8000 · Fax (231) 935-8099
Fax(231) 935-8099
Sole ProprietorYes
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2013
Enumeration DateMay 15, 2013
Last NPPES UpdateAugust 16, 20258 updates tracked since enumeration
NPPES CertifiedAugust 16, 2025
NPI 1215373451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101020231
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
550 MUNSON AVE, Traverse City, MI 49686

Secondary Practice Locations 20

Location 1234 Lake StRoscommon, MI 48653-9203 · Phone (989) 275-1200 · Fax (989) 275-1210
Location 22585 W Houghton Lake DrPrudenville, MI 48651-9624 · Phone (989) 366-2900 · Fax (989) 366-1166
Location 31200 W North Down River Rd Ste CGrayling, MI 49738-8024 · Phone (989) 344-5910 · Fax (231) 935-3463
Location 41250 E Michigan AveGrayling, MI 49738-7074 · Phone (989) 348-0550 · Fax (989) 348-0473
Location 51100 E Michigan AveGrayling, MI 49738-1312 · Phone (989) 348-5461 · Fax (989) 348-5724
Location 61996 Walden DrGaylord, MI 49735-8241 · Phone (989) 731-4111
Location 73040 Bourn StLewiston, MI 49756-8134 · Phone (989) 786-4877
Location 83860 S Straits HwyIndian River, MI 49749-5146 · Phone (231) 238-0581
Location 91293 E Parkdale AveManistee, MI 49660-8904 · Phone (231) 398-1840 · Fax (231) 398-1835
Location 1014719 W Upright StCharlevoix, MI 49720-1949 · Phone (231) 547-3840
Location 1114734 Park AveCharlevoix, MI 49720-1927 · Phone (231) 547-6554
Location 121391 E Parkdale AveManistee, MI 49660-9352 · Phone (231) 398-1760
Location 137985 S Mackinaw TrlCadillac, MI 49601-8111 · Phone (231) 876-6200
Location 14100 N Roland StMc Bain, MI 49657-9683 · Phone (231) 876-4600
Location 159975 W Ottawa AveEmpire, MI 49630-9618
Location 16829 N Center Ave Ste 210Gaylord, MI 49735-1599 · Phone (989) 731-7860
Location 171321 S Mount Tom RdMio, MI 48647-9518 · Phone (989) 344-5820
Location 18223 N Park StBoyne City, MI 49712-1220 · Phone (231) 582-5314
Location 1914705 W Upright StCharlevoix, MI 49720-1949 · Phone (231) 547-8544
Location 201619 Anderson RdPetoskey, MI 49770-9256 · Phone (231) 417-6050 · Fax (231) 213-8749

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

Kelly R Donovan Do 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 ID7012203649
PECOS Enrollment IDI20160908001375
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230058
Location1100 E Michigan AveGrayling, MI 49738 · Crawford County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49686 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.

Psychiatry & Neurology (Neurology)
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Specialist
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Audiologist
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Physician Assistant
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Pharmacy (Long Term Care Pharmacy)
550 MUNSON AVE, SUITE G-100
TRAVERSE CITY, MI 49686
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Occupational Therapist
550 MUNSON AVE
TRAVERSE CITY, MI 49686
Physician Assistant
550 MUNSON AVE
TRAVERSE CITY, MI 49686

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 Donovan's NPI number?

The NPI number for Kelly Donovan is 1215373451. It was assigned to this individual provider in the NPPES registry on May 15, 2013.

Where is Kelly Donovan located?

Kelly Donovan practices at 550 Munson Ave, Traverse City, MI 49686. The listed phone number is (231) 935-8686.

What is Kelly Donovan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Donovan enrolled in Medicare?

Yes. Kelly Donovan 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 Kelly Donovan accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kelly Donovan 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 Donovan affiliated with any hospitals?

According to CMS data, Kelly Donovan is affiliated with Munson Healthcare Grayling Hospital and Munson Healthcare Otsego Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Donovan was last updated on August 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.