MS. KELLY J WILCOX NP-C
NPI 1336814490
Nurse Practitioner - Primary Care in Flint, MI
About Ms. Kelly J Wilcox Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY J WILCOX NP-C (NPI 1336814490) is an individual primary care provider in Flint, Michigan, licensed in Michigan (4704264590) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Mclaren Port Huron, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ms. Kelly J Wilcox Np-c 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.
Medicare Billing Reassignments
8Medicare enrollment records show Kelly Wilcox reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brighton, MI 48114
- Reassigned Medicare billing, Michigan enrollment
- 383 clinicians in this Medicare group
Pontiac, MI 48342
- Reassigned Medicare billing, Michigan enrollment
- 68 clinicians in this Medicare group
Dewitt, MI 48820
- Reassigned Medicare billing, Michigan enrollment
- 33 clinicians in this Medicare group
Bingham Farms, MI 48025
- Reassigned Medicare billing, Michigan enrollment
- 32 clinicians in this Medicare group
Beverly Hills, MI 48025
- Reassigned Medicare billing, Michigan enrollment
- 14 clinicians in this Medicare group
Detroit, MI 48213
- Reassigned Medicare billing, Michigan enrollment
- 35 clinicians in this Medicare group
Detroit, MI 48243
- Reassigned Medicare billing, Michigan enrollment
- 78 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Michigan enrollment
- 666 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Port Huron
Acute Care Hospitals · Port Huron, MIAscension River District Hospital
Acute Care Hospitals · East China, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48532 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wilcox's NPI number?
The NPI number for Kelly Wilcox is 1336814490. It was assigned to this individual provider in the NPPES registry on August 11, 2021.
Where is Kelly Wilcox located?
Kelly Wilcox practices at G3201 Beecher Rd, Flint, MI 48532. The listed phone number is (810) 732-9200.
What is Kelly Wilcox's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kelly Wilcox enrolled in Medicare?
Yes. Kelly Wilcox 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 Kelly Wilcox's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Wilcox reassigns Medicare benefits to 8 organizations: Theoria Medical (Brighton, MI), Fadi Salloum MD PC (Pontiac, MI), Michigan Family Medicine And Urgent Care (Dewitt, MI), Ltc Physician Care PC (Bingham Farms, MI), Pai Participant 18 PC (Beverly Hills, MI) and 3 more organizations, listed in the Medicare section above. 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 Kelly Wilcox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Wilcox accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kelly Wilcox 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 Kelly Wilcox affiliated with any hospitals?
According to CMS data, Kelly Wilcox is affiliated with Mclaren Port Huron and Ascension River District Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Wilcox was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Kelly J Wilcox, NP-C · NPI 1336814490
Primary Care physician in Flint, Michigan. Individual provider, active in the CMS NPPES registry since August 11, 2021.
## Identity
- **NPI:** 1336814490 (Entity type: Individual)
- **Enumerated:** August 11, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4704264590 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** G3201 BEECHER RD, Flint, MI 48532-3615
- **Phone:** (810) 732-9200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Theoria Medical (NPI 1164186946, Brighton, MI); Fadi Salloum MD PC (NPI 1053510446, Pontiac, MI); Michigan Family Medicine And Urgent Care (NPI 1497225403, Dewitt, MI); Ltc Physician Care PC (NPI 1841991817, Bingham Farms, MI); Pai Participant 18 PC (NPI 1750988226, Beverly Hills, MI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1336814490) · Data from the CMS NPPES public registry.