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KELLY EVANS
NPI 1417887662
Speech-Language Pathologist in Holly, MI

Active since May 20, 2026
10483 DIXIE HWY, HOLLY, MI 48442(810) 771-7686 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kelly Evans NPPES

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

KELLY EVANS (NPI 1417887662) is an individual speech-language pathologist provider in Holly, Michigan, licensed in Michigan (7101000259) and active in the NPI registry since May 2026. The provider is a graduate of Other (2000).

NPPES Registry Identity

NPI1417887662
Entity TypeIndividual
Primary Taxonomy235Z00000X
Provider Legal NameKELLY EVANS
Location Address10483 DIXIE HWYHolly, MI 48442-9311
Mailing Address10483 Dixie HwyHolly, MI 48442-9311 · (810) 771-7686
Phone(810) 771-7686
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1417887662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MI · 7101000259
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
10483 DIXIE HWY, Holly, MI 48442
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Evans is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466917141
PECOS Enrollment IDI20260723000606

Medicare Billing Reassignments

4

Medicare enrollment records show Kelly Evans reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Level 11 Physical Therapy
0.1 mi
Rehabilitation
10483 DIXIE HWY
Holly, MI 48442
  • Reassigned Medicare billing, Michigan enrollment
  • 39 clinicians in this Medicare group
NPI 1730317785 (810) 771-7686
Level Eleven Howell
24 mi
Rehabilitation
1030 W. HIGHLAND RD
Howell, MI 48843
  • Reassigned Medicare billing, Michigan enrollment
  • 33 clinicians in this Medicare group
NPI 1174998801 (810) 771-7686
Rww Outpatient Rehab Services, LLC
38 mi
Physical Therapist
13331 15 MILE RD
Sterling Heights, MI 48312
  • Reassigned Medicare billing, Michigan enrollment
  • 33 clinicians in this Medicare group
NPI 1457990061 (586) 978-0376
Level Eleven Saginaw
47 mi
Physical Therapy
5815 BAY RD, SUITE 400
Saginaw, MI 48604
  • Reassigned Medicare billing, Michigan enrollment
  • 31 clinicians in this Medicare group
NPI 1720320583 (810) 771-7686

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

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.

ABIGAIL ANNE HEREAU PT, DPT, ATC
Physical Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 498-2301
ANNA MARIE BRADLEY PT, DPT
Physical Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7686
HEATHER HEPPER PT, DPT
Physical Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7686
TERESA RENEE FINNIGAN
Speech-Language Pathologist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7685
AUDREY PLOUFFE
Physical Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7686
KAITLYN LANDESS OTD, OTR/L
Occupational Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7686
MEGAN ANTAYA SCHMIDT OTR/L
Occupational Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 498-2301
ERIN UEHARA
Physical Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7686

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 Evans's NPI number?

The NPI number for Kelly Evans is 1417887662. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Where is Kelly Evans located?

Kelly Evans practices at 10483 Dixie Hwy, Holly, MI 48442. The listed phone number is (810) 771-7686.

What is Kelly Evans's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kelly Evans enrolled in Medicare?

Yes. Kelly Evans is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Evans reassigns Medicare benefits to 4 organizations: Level 11 Physical Therapy (Holly, MI), Level Eleven Howell (Howell, MI), Rww Outpatient Rehab Services, LLC (Sterling Heights, MI) and Level Eleven Saginaw (Saginaw, MI). 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 Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Evans 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 list Kelly Evans 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.

When was this NPI record last updated?

The NPPES record for Kelly Evans was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.