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KELSEY GOCKMAN BS, MD
NPI 1376385385
Student in an Organized Health Care Education/Training Program in Chelsea, MI

Active since June 10, 2024PECOS Enrolled
14700 E OLD US HIGHWAY 12, CHELSEA, MI 48118(734) 475-1321 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Gockman Bs, Md NPPES

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

KELSEY GOCKMAN BS, MD (NPI 1376385385) is an individual student in an organized health care education/training program in Chelsea, Michigan, licensed in Michigan (4351052390) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376385385
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELSEY GOCKMANCredential: BS, MD
Location Address14700 E OLD US HIGHWAY 12Chelsea, MI 48118-1185
Mailing Address31298 Springlake Blvd Apt 1106Novi, MI 48377-1137 · (224) 422-9928
Phone(734) 475-1321
Sole ProprietorNo
Enumeration DateJune 10, 2024
NPPES CertifiedJune 10, 2024
✔ NPI 1376385385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351052390
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
14700 E OLD US HIGHWAY 12, Chelsea, MI 48118
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Gockman Bs, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

HEIDI JOY JOSHI PSYD
Psychologist (Clinical)
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 475-1321
DR. CALEB MOFFETT
Student in an Organized Health Care Education/Training Program
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 475-1321
TAYLOR LOMBARD
Student in an Organized Health Care Education/Training Program
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 475-1321
JANE ELIZABETH BEIMER MD
Physical Medicine & Rehabilitation
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 936-7175
MADISON MARIE MARRAS MD
Student in an Organized Health Care Education/Training Program
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 748-1653
ALEXANDRA SELIM THEISEN M.D.
Physical Medicine & Rehabilitation
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 936-7175
JACOB WASAG
Family Medicine
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 475-1321
AMANDA EDMOND FARAH MSW
Social Worker (Clinical)
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 539-5000

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 Kelsey Gockman's NPI number?

The NPI number for Kelsey Gockman is 1376385385. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Kelsey Gockman located?

Kelsey Gockman practices at 14700 E Old Us Highway 12, Chelsea, MI 48118. The listed phone number is (734) 475-1321.

What is Kelsey Gockman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelsey Gockman enrolled in Medicare?

Yes. Kelsey Gockman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Gockman was last updated on June 10, 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.