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KELSEY CRAMPTON
NPI 1427675768
Nurse Practitioner - Adult Health in Lexington, MI

Active since July 02, 2020PECOS EnrolledAccepts Medicare Assignment
5294 MAIN ST, LEXINGTON, MI 48450(810) 359-5030(810) 359-5034 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelsey Crampton NPPES

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

KELSEY CRAMPTON (NPI 1427675768) is an individual adult health provider in Lexington, Michigan, licensed in Michigan (4704304124) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2010).

NPPES Registry Identity

NPI1427675768
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKELSEY CRAMPTON
Location Address5294 MAIN STLexington, MI 48450-8777
Mailing Address4017 Pine Grove AveFort Gratiot, MI 48059-3835 · (810) 434-1169
Phone(810) 359-5030
Fax(810) 359-5034
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2010
Enumeration DateJuly 2, 2020
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1427675768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704304124
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704304124 (MI)
5294 MAIN ST, Lexington, MI 48450
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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, McLaren Health Plan Community and more.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

Kelsey Crampton 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 ID4880076108
PECOS Enrollment IDI20220803002464
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 7

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.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
199 services43 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
158 services89 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
125 services58 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
119 services59 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
84 services35 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48450 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 3

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

LEXINGTON FAMILY MEDICINE, PLLC
Family Medicine
5294 MAIN ST
LEXINGTON, MI 48450
Sanilac County (989) 948-1649
ANDREA ABOU-GANIM FNP-BC
Nurse Practitioner (Family)
5294 MAIN ST
LEXINGTON, MI 48450
Sanilac County (810) 359-5030
CHRISTIE S LAMING MD
Family Medicine
5294 MAIN ST
LEXINGTON, MI 48450
Sanilac County (810) 359-5030

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 Crampton's NPI number?

The NPI number for Kelsey Crampton is 1427675768. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Where is Kelsey Crampton located?

Kelsey Crampton practices at 5294 Main St, Lexington, MI 48450. The listed phone number is (810) 359-5030.

What is Kelsey Crampton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kelsey Crampton enrolled in Medicare?

Yes. Kelsey Crampton 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 Kelsey Crampton accept?

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

According to CMS data, Kelsey Crampton is affiliated with Lake Huron Medical Center.

When was this NPI record last updated?

The NPPES record for Kelsey Crampton was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.