JACOB PERRY KELLNER DO
NPI 1245033539
Student in an Organized Health Care Education/Training Program in Clinton Township, MI
About Jacob Perry Kellner Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB PERRY KELLNER DO (NPI 1245033539) is an individual student in an organized health care education/training program in Clinton Township, Michigan and active in the NPI registry since March 2025. The provider is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Perry Kellner Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
CLINTON TOWNSHIP, MI 48038
CLINTON TWP, MI 48038
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 Jacob Kellner's NPI number?
The NPI number for Jacob Kellner is 1245033539. It was assigned to this individual provider in the NPPES registry on March 31, 2025.
Where is Jacob Kellner located?
Jacob Kellner practices at 15855 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 263-2300.
What is Jacob Kellner's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacob Kellner enrolled in Medicare?
Yes. Jacob Kellner is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacob Kellner was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Jacob Perry Kellner, DO · NPI 1245033539
Student in an Organized Health Care Education/Training Program provider in Clinton Township, Michigan. Individual provider, active in the CMS NPPES registry since March 31, 2025.
## Identity
- **NPI:** 1245033539 (Entity type: Individual)
- **Enumerated:** March 31, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 15855 19 MILE RD, Clinton Township, MI 48038-3504
- **Phone:** (586) 263-2300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1245033539) · Data from the CMS NPPES public registry.