MS. KELLI RENEE ROE P.A.-C
NPI 1225318751
Physician Assistant - Surgical in Kalamazoo, MI
About Ms. Kelli Renee Roe P.a.-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLI RENEE ROE P.A.-C (NPI 1225318751) is an individual surgical provider in Kalamazoo, Michigan, licensed in Michigan (5601006123) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kelli Renee Roe P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KALAMAZOO, MI 49048
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 Kelli Roe's NPI number?
The NPI number for Kelli Roe is 1225318751. It was assigned to this individual provider in the NPPES registry on August 29, 2011.
Where is Kelli Roe located?
Kelli Roe practices at 1634 Gull Rd, Kalamazoo, MI 49048. The listed phone number is (269) 903-2835.
What is Kelli Roe's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kelli Roe enrolled in Medicare?
Yes. Kelli Roe is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelli Roe was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ms. Kelli Renee Roe, P.A.-C · NPI 1225318751
Surgical physician in Kalamazoo, Michigan. Individual provider, active in the CMS NPPES registry since August 29, 2011.
## Identity
- **NPI:** 1225318751 (Entity type: Individual)
- **Enumerated:** August 29, 2011
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 5601006123 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1634 GULL RD, Kalamazoo, MI 49048-1632
- **Phone:** (269) 903-2835
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 2, 2016
- **Other identifiers:** Other 1417961137 (MI); Medicare PIN C97618376 - BMH (MI); Medicaid 1225318751 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1225318751) · Data from the CMS NPPES public registry.