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AMANDA LEE KELLY PA
NPI 1417228305
Physician Assistant in Ada, MI

Active since January 24, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7128 FULTON ST E, ADA, MI 49301(616) 825-3530 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2025, Feb 26, 2021 (2 updates tracked since 2021).

About Amanda Lee Kelly Pa NPPES

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

AMANDA LEE KELLY PA (NPI 1417228305) is an individual physician assistant in Ada, Michigan, licensed in Michigan (5601006237) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1417228305
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA LEE KELLYCredential: PA
Location Address7128 FULTON ST EAda, MI 49301-8413
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 825-3530
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 24, 2012
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1417228305 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 · 5601006237
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.
7128 FULTON ST E, Ada, MI 49301
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Other Names 1

Former Name (1)Amanda Lee Vanliere

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Lee Kelly Pa 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 ID8325204431
PECOS Enrollment IDI20120718000119
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
105 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
82 services65 patients

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 49301 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

AARON WILLIAM MELUCCI PA-C
Physician Assistant
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
ROBERT CHARLES MACKINDER MD
Internal Medicine
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
AMY RENAE BELL NP
Nurse Practitioner
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
ANN ELIZABETH TARR LMSW
Social Worker (Clinical)
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
DR. ASHLEY BARCROFT
Pediatrics
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
JUNWEN LAW MD
Family Medicine
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
LAUREN PHILLIPS MICHELLI MD
Family Medicine
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
KATIE LYNN GREEN LMSW
Social Worker (Clinical)
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530

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 Amanda Kelly's NPI number?

The NPI number for Amanda Kelly is 1417228305. It was assigned to this individual provider in the NPPES registry on January 24, 2012. The provider is also known as Amanda Lee Vanliere.

Where is Amanda Kelly located?

Amanda Kelly practices at 7128 Fulton St E, Ada, MI 49301. The listed phone number is (616) 825-3530.

What is Amanda Kelly's specialty?

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

Is Amanda Kelly enrolled in Medicare?

Yes. Amanda 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.

What insurance does Amanda Kelly accept?

Health plans from Priority Health list Amanda 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 Amanda Kelly affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Amanda Kelly was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.