KELSEY ANNE BRENGMAN PA-C
NPI 1225695232
Physician Assistant in Roseville, MI

Active since May 24, 2019PECOS EnrolledAccepts Medicare Assignment
20769 E 13 MILE RD, ROSEVILLE, MI 48066(586) 872-2288 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Anne Brengman Pa-c NPPES

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

KELSEY ANNE BRENGMAN PA-C (NPI 1225695232) is an individual physician assistant in Roseville, Michigan, licensed in Michigan (5601009233) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warren, and is a graduate of Wayne State University School Of Medicine (2019).

NPPES Registry Identity

NPI1225695232
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY ANNE BRENGMANCredential: PA-C
Location Address20769 E 13 MILE RDRoseville, MI 48066-4503
Mailing Address614 Saint Charles CtRoyal Oak, MI 48067-1928 · (313) 820-0926
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2019
Enumeration DateMay 24, 2019
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1225695232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601009233
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.
20769 E 13 MILE RD, Roseville, MI 48066

Secondary Practice Location 1

Location 126000 Hoover RdWarren, MI 48089-1167 · Phone (586) 722-0707

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 Anne Brengman Pa-c 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 ID2365884699
PECOS Enrollment IDI20240531001026
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.

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.
34 services32 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
21 services11 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48066 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 4

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

Nurse Practitioner (Family)
20769 E 13 MILE RD
ROSEVILLE, MI 48066
Nurse Practitioner (Family)
20769 E 13 MILE RD
ROSEVILLE, MI 48066
Clinic/Center (Urgent Care)
20769 E 13 MILE RD
ROSEVILLE, MI 48066
Obstetrics & Gynecology
20769 E 13 MILE RD
ROSEVILLE, MI 48066

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 Brengman's NPI number?

The NPI number for Kelsey Brengman is 1225695232. It was assigned to this individual provider in the NPPES registry on May 24, 2019.

Where is Kelsey Brengman located?

Kelsey Brengman practices at 20769 E 13 Mile Rd, Roseville, MI 48066. The listed phone number is (586) 872-2288.

What is Kelsey Brengman's specialty?

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

Is Kelsey Brengman enrolled in Medicare?

Yes. Kelsey Brengman 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 Brengman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Kelsey Brengman 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 Brengman was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.