KELLY MANN P.A.
NPI 1215568548
Physician Assistant in Grand Rapids, MI

Active since January 27, 2020PECOS EnrolledAccepts Medicare Assignment
2155 E PARIS AVE SE STE 210, GRAND RAPIDS, MI 49546(616) 655-1570(616) 655-1571 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2026, Jun 21, 2023, Nov 14, 2022 and 1 more (4 updates tracked since 2020).

About Kelly Mann P.a. NPPES

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

KELLY MANN P.A. (NPI 1215568548) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601009852) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215568548
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY MANNCredential: P.A.
Location Address2155 E PARIS AVE SE STE 210Grand Rapids, MI 49546-6195
Mailing Address2155 E Paris Ave Se Ste 210Grand Rapids, MI 49546-6190 · (616) 655-1570 · Fax (616) 655-1571
Fax(616) 655-1571
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 27, 2020
Last NPPES UpdateMarch 18, 20264 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
NPI 1215568548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601009852
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.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 5601009852 (MI)
2155 E PARIS AVE SE STE 210, Grand Rapids, MI 49546

Other Names 1

Former Name (1)Kelly Bates

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 Mann P.a. 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 ID3375979164
PECOS Enrollment IDI20200217000042
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 3

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
18 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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 3

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

Physician Assistant
2155 E PARIS AVE SE STE 210
GRAND RAPIDS, MI 49546
Occupational Therapist
2155 E PARIS AVE SE STE 210
GRAND RAPIDS, MI 49546
Orthopaedic Surgery (Hand Surgery)
2155 E PARIS AVE SE STE 210
GRAND RAPIDS, MI 49546

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 Mann's NPI number?

The NPI number for Kelly Mann is 1215568548. It was assigned to this individual provider in the NPPES registry on January 27, 2020. The provider is also known as Kelly Bates.

Where is Kelly Mann located?

Kelly Mann practices at 2155 E Paris Ave SE Ste 210, Grand Rapids, MI 49546. The listed phone number is (616) 655-1570.

What is Kelly Mann's specialty?

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

Is Kelly Mann enrolled in Medicare?

Yes. Kelly Mann 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 Mann 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 Mann 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 Mann affiliated with any hospitals?

According to CMS data, Kelly Mann is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Kelly Mann was last updated on March 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.