Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY DIANE CRONK
NPI 1245145176
Speech-Language Pathologist in Troy, MI

Active since August 17, 2026
210 TOWN CENTER DR, TROY, MI 48084(248) 643-8900 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly Diane Cronk NPPES

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

KELLY DIANE CRONK (NPI 1245145176) is an individual speech-language pathologist provider in Troy, Michigan, licensed in Michigan (7101003466) and active in the NPI registry since August 2026. She is a graduate of Other (1996).

NPPES Registry Identity

NPI1245145176
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY DIANE CRONK
Location Address210 TOWN CENTER DRTroy, MI 48084-1774
Mailing Address37565 Lakeville StHarrison Township, MI 48045-2880 · (248) 882-4998
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 17, 2026
NPPES CertifiedAugust 16, 2026
✔ NPI 1245145176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MI · 7101003466
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
210 TOWN CENTER DR, Troy, MI 48084

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Diane Cronk is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820557077
PECOS Enrollment IDI20260827002730

Medicare Billing Reassignment

Medicare enrollment records show Kelly Cronk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
210 TOWN CENTER DR
Troy, MI 48084
  • Reassigned Medicare billing, Michigan enrollment
  • 51 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Occupational Therapy Assistant
210 TOWN CENTER DR
TROY, MI 48084
Occupational Therapist
210 TOWN CENTER DR
TROY, MI 48084
Occupational Therapy Assistant
210 TOWN CENTER DR
TROY, MI 48084
Occupational Therapy Assistant
210 TOWN CENTER DR
TROY, MI 48084
Occupational Therapy Assistant
210 TOWN CENTER DR
TROY, MI 48084
Speech-Language Pathologist
210 TOWN CENTER DR
TROY, MI 48084
Speech-Language Pathologist
210 TOWN CENTER DR
TROY, MI 48084
Occupational Therapist
210 TOWN CENTER DR
TROY, MI 48084

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 Cronk's NPI number?

The NPI number for Kelly Cronk is 1245145176. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Kelly Cronk located?

Kelly Cronk practices at 210 Town Center Dr, Troy, MI 48084. The listed phone number is (248) 643-8900.

What is Kelly Cronk's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kelly Cronk enrolled in Medicare?

Yes. Kelly Cronk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Cronk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Cronk reassigns Medicare benefits to Behavioral Outcomes Management,llc (Troy, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Cronk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Cronk was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.