CHASE THOMAS KELLEY DO
NPI 1255063798
Student in an Organized Health Care Education/Training Program in Lansing, MI

Q: What is Chase Kelley's NPI number?

The NPI number for Chase Kelley is 1255063798. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Q: What is Chase Kelley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Chase Kelley was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 24, 2022PECOS Enrolled

2900 COLLINS RD, LANSING, MI 48910(517) 975-6000 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Chase Thomas Kelley Do NPPES

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

CHASE THOMAS KELLEY DO (NPI 1255063798) is an individual student in an organized health care education/training program in Lansing, Michigan, licensed in Michigan (5151015568) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255063798

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCHASE THOMAS KELLEYCredential: DO

Location Address2900 COLLINS RDLansing, MI 48910-8394

Mailing Address2900 Collins RdLansing, MI 48910-8394 · (517) 975-6000

Phone(517) 975-6000

Sole ProprietorNo

Enumeration DateJune 24, 2022

NPPES CertifiedJune 24, 2022

✔ NPI 1255063798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 5151015568

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2900 COLLINS RD, Lansing, MI 48910

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chase Thomas Kelley Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ANNA SALL DO

Student in an Organized Health Care Education/Training Program