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AMY JO KELLY NP
NPI 1336463785
Nurse Practitioner - Family in Grand Rapids, MI

Active since March 15, 2010PECOS EnrolledAccepts Medicare Assignment
86.44/100
CMS Quality Rating
100 MICHIGAN ST NE # MC027, GRAND RAPIDS, MI 49503(616) 391-2160 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2021, Feb 11, 2021, Dec 14, 2020 and 2 more (5 updates tracked since 2018).

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, is affiliated with Spectrum Health, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1336463785
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY JO KELLYCredential: NP
Location Address100 MICHIGAN ST NE # MC027Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 391-2160
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 15, 2010
Last NPPES UpdateJune 8, 20265 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1336463785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704246088
100 MICHIGAN ST NE # MC027, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Names 1

Former Name (1)Amy J Klein

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7416130554
PECOS Enrollment IDI20110325000814
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Amy Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Hospitals
0.1 mi
Hospitalist
100 MICHIGAN ST NE, MC-907
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 405 clinicians in this Medicare group
NPI 1558407189 (616) 774-7377
Spectrum Health Primary Care Partners
0.1 mi
Hospitalist
100 MICHIGAN ST NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1790093763 (616) 391-3139
Grand Rapids Womens Health PC
0.6 mi
Obstetrics & Gynecology
555 MIDTOWNE NE, SUITE 400
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 26 clinicians in this Medicare group
NPI 1467545319 (616) 588-1200

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

86.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.93
Promoting Interoperability100
Improvement Activities40
Cost41.91

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.

JAN MARGARET BUCHANAN CNM
Advanced Practice Midwife
100 MICHIGAN ST NE # MC027
GRAND RAPIDS, MI 49503
Kent County (616) 391-2160
MICHELLE BACKUS COLWELL M.D.
Obstetrics & Gynecology
100 MICHIGAN ST NE # MC027
GRAND RAPIDS, MI 49503
Kent County (616) 391-2160
LAUREL PATRICIA JESSUP CNM
Advanced Practice Midwife
100 MICHIGAN ST NE # MC027
GRAND RAPIDS, MI 49503
Kent County (616) 391-2160
EMILY JANE QUINEY DNP, RN, FNP-BC
Nurse Practitioner (Family)
100 MICHIGAN ST NE # MC027
GRAND RAPIDS, MI 49503
Kent County (616) 391-2160
MS. ERICKA LEE VANDER SYS CNM
Advanced Practice Midwife
100 MICHIGAN ST NE # MC027
GRAND RAPIDS, MI 49503
Kent County (616) 391-1751
DR. KATHERINE ELLEN KOWALCZYK D.O.
Obstetrics & Gynecology
100 MICHIGAN ST NE # MC027
GRAND RAPIDS, MI 49503
Kent County (616) 391-2160
ALI MOHSIN JAFFRY
Obstetrics & Gynecology
100 MICHIGAN ST NE # MC027
GRAND RAPIDS, MI 49503
Kent County (616) 391-2160
KATHERYN ELISABETH CLARK CNM
Advanced Practice Midwife
100 MICHIGAN ST NE # MC027
GRAND RAPIDS, MI 49503
Kent County (616) 391-1751

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.

Which organizations bill Medicare for Amy Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Kelly reassigns Medicare benefits to 3 organizations: Spectrum Health Hospitals (Grand Rapids, MI), Spectrum Health Primary Care Partners (Grand Rapids, MI) and Grand Rapids Womens Health PC (Grand Rapids, MI). Each 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 Amy Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Kelly accept?

Health plans from 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.

Is Amy Kelly affiliated with any hospitals?

According to CMS data, Amy Kelly is affiliated with Spectrum Health.

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 4 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.