KERRY A THELEN NP
NPI 1457691925
Nurse Practitioner - Family in Bay City, MI
About Kerry A Thelen Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KERRY A THELEN NP (NPI 1457691925) is an individual family provider in Bay City, Michigan, licensed in Michigan (4704199552) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kerry A Thelen Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Kerry Thelen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bay City, MI 48708
- Reassigned Medicare billing, Michigan enrollment
- 5 clinicians in this Medicare group
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 48708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Kerry Thelen's NPI number?
The NPI number for Kerry Thelen is 1457691925. It was assigned to this individual provider in the NPPES registry on February 21, 2013.
Where is Kerry Thelen located?
Kerry Thelen practices at 2110 16th St Ste. 4, Bay City, MI 48708. The listed phone number is (989) 891-9000.
What is Kerry Thelen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kerry Thelen enrolled in Medicare?
Yes. Kerry Thelen 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.
Which organization bills Medicare for Kerry Thelen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Thelen reassigns Medicare benefits to Tazeen Ahmed LLC (Bay City, MI). The 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 Kerry Thelen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kerry Thelen was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kerry A Thelen, NP · NPI 1457691925
Family physician in Bay City, Michigan. Individual provider, active in the CMS NPPES registry since February 21, 2013.
## Identity
- **NPI:** 1457691925 (Entity type: Individual)
- **Enumerated:** February 21, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704199552 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2110 16TH ST, STE. 4, Bay City, MI 48708-7609
- **Phone:** (989) 891-9000 · **Fax:** (989) 891-9876
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tazeen Ahmed LLC (NPI 1952841264, Bay City, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 9, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1457691925) · Data from the CMS NPPES public registry.