KELSEY MICHELLE LEE-TARCA DO
NPI 1346980687
Psychiatry & Neurology - Psychiatry in Jackson, MI

Q: What is Kelsey Lee-tarca's NPI number?

The NPI number for Kelsey Lee-tarca is 1346980687. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Q: What is Kelsey Lee-tarca's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Lee-tarca was last updated on June 23, 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.

Active since April 01, 2022PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-4730 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kelsey Michelle Lee-tarca Do NPPES

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

KELSEY MICHELLE LEE-TARCA DO (NPI 1346980687) is an individual psychiatry provider in Jackson, Michigan, licensed in Michigan (5101029051) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Middletown, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2022).

NPPES Registry Identity

NPI1346980687

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameKELSEY MICHELLE LEE-TARCACredential: DO

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753 · (517) 205-4730

Phone(517) 205-4730

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2022

Enumeration DateApril 1, 2022

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1346980687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MI · 5101029051

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

205 N EAST AVE, Jackson, MI 49201

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Secondary Practice Location 1

Location 1707 E Main StMiddletown, NY 10940-2650 · Phone (845) 333-7373 · Fax (845) 333-7342

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, 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 (PECOS)

Kelsey Michelle Lee-tarca Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618441791

PECOS Enrollment IDI20260630001161

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 Reassignment

Medicare enrollment records show Kelsey Lee-tarca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

W.A. Foote Memorial Hospital

Same address

Nurse Anesthetist, Certified Registered

205 N EAST AVE, CRNA
Jackson, MI 49201

Reassigned Medicare billing, Michigan enrollment
107 clinicians in this Medicare group

NPI 1598776718 (517) 788-4800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

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 20

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

SAMANTHA RENE DANEK PA-C

Physician Assistant