KELLIE LEA MUMFORD PA-C
NPI 1346496759
Physician Assistant in Gaylord, MI

Active since August 18, 2008PECOS EnrolledAccepts Medicare Assignment
2147 PROFESSIONAL DR, GAYLORD, MI 49735(989) 732-1753(989) 731-1425 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kellie Lea Mumford Pa-c NPPES

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

KELLIE LEA MUMFORD PA-C (NPI 1346496759) is an individual physician assistant in Gaylord, Michigan, licensed in Michigan (5601005363) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1346496759
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLIE LEA MUMFORDCredential: PA-C
Location Address2147 PROFESSIONAL DRGaylord, MI 49735-0003
Mailing Address829 N Center Ave, Suite 298Gaylord, MI 49735-1595 · (989) 731-7708 · Fax (989) 731-7929
Fax(989) 731-1425
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 18, 2008
Last NPPES UpdateDecember 23, 2020
NPPES CertifiedDecember 23, 2020
NPI 1346496759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601005363
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2147 PROFESSIONAL DR, Gaylord, MI 49735

Other Identifiers 1

OtherOF96004Medicare Group Number

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

Kellie Lea Mumford Pa-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.

PECOS PAC ID9234207952
PECOS Enrollment IDI20081008000486
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.

Areas of Expertise CMS Part B claims 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
202 services37 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
108 services91 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
63 services63 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
57 services45 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
49 services40 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230058
Location1100 E Michigan AveGrayling, MI 49738 · Crawford County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49735 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
2147 PROFESSIONAL DR
GAYLORD, MI 49735
Physical Therapist (Orthopedic)
2147 PROFESSIONAL DR, SUITE 2
GAYLORD, MI 49735
Physical Therapist
2147 PROFESSIONAL DR
GAYLORD, MI 49735
Orthopaedic Surgery
2147 PROFESSIONAL DR
GAYLORD, MI 49735
Orthopaedic Surgery
2147 PROFESSIONAL DR
GAYLORD, MI 49735
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2147 PROFESSIONAL DR
GAYLORD, MI 49735
Physical Therapist
2147 PROFESSIONAL DR
GAYLORD, MI 49735
Physician Assistant
2147 PROFESSIONAL DR
GAYLORD, MI 49735

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 Kellie Mumford's NPI number?

The NPI number for Kellie Mumford is 1346496759. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Kellie Mumford located?

Kellie Mumford practices at 2147 Professional Dr, Gaylord, MI 49735. The listed phone number is (989) 732-1753.

What is Kellie Mumford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kellie Mumford enrolled in Medicare?

Yes. Kellie Mumford 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 Kellie Mumford accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kellie Mumford 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 Kellie Mumford affiliated with any hospitals?

According to CMS data, Kellie Mumford is affiliated with Munson Healthcare Grayling Hospital and Munson Healthcare Otsego Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kellie Mumford was last updated on December 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.