AMY JO KELLY NP
NPI 1336463785
Nurse Practitioner - Family in Grand Rapids, MI
About Amy Jo Kelly Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY JO KELLY NP (NPI 1336463785) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704246088) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Amy Jo Kelly Np 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Amy Kelly's NPI number?
The NPI number for Amy Kelly is 1336463785. It was assigned to this individual provider in the NPPES registry on March 15, 2010. The provider is also known as Amy J Klein.
Where is Amy Kelly located?
Amy Kelly practices at 100 Michigan St NE # Mc027, Grand Rapids, MI 49503. The listed phone number is (616) 391-2160.
What is Amy Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Kelly enrolled in Medicare?
Yes. Amy Kelly 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 Amy Kelly accept?
Health plans from McLaren Health Plan Community and Priority Health list Amy Kelly 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 Amy Kelly was last updated on June 8, 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.
# Amy Jo Kelly, NP · NPI 1336463785
Family physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since March 15, 2010.
## Identity
- **NPI:** 1336463785 (Entity type: Individual)
- **Enumerated:** March 15, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704246088 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE # MC027, Grand Rapids, MI 49503-2560
- **Phone:** (616) 391-2160
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** June 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336463785) · Data from the CMS NPPES public registry.