MISS KELLY PHUONG DOAN NURSE PRACTITIONER
NPI 1477154599
Nurse Practitioner - Family in Fraser, MI
About Miss Kelly Phuong Doan Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS KELLY PHUONG DOAN NURSE PRACTITIONER (NPI 1477154599) is an individual family provider in Fraser, Michigan, licensed in Michigan (4704335421) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Miss Kelly Phuong Doan Nurse Practitioner 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 Reassignments
4Medicare enrollment records show Kelly Doan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clinton Township, MI 48038
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Swetech Medical Center PC
- 5 clinicians in this Medicare group
Supai, AZ 86435
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Dhhs Ihs Phoenix Area
- 210 clinicians in this Medicare group
Moapa, NV 89025
- Reassigned Medicare billing, Texas enrollment
- 143 clinicians in this Medicare group
Havasu Lake, CA 92363
- Reassigned Medicare billing, Texas enrollment
- 208 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.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Doan's NPI number?
The NPI number for Kelly Doan is 1477154599. It was assigned to this individual provider in the NPPES registry on November 4, 2020.
Where is Kelly Doan located?
Kelly Doan practices at 33021 Garfield Rd, Fraser, MI 48026. The listed phone number is (586) 293-5012.
What is Kelly Doan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Doan enrolled in Medicare?
Yes. Kelly Doan 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 organizations bill Medicare for Kelly Doan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Doan reassigns Medicare benefits to 4 organizations: Swetech Medical Center, P.C. (Clinton Township, MI), Dhhs Ihs Phoenix (Supai, AZ), Irene Benn Medical Center (Moapa, NV) and Dhhs Ihs Phoenix Area (Havasu Lake, CA). 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 Doan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Doan accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and UnitedHealthcare list Kelly Doan 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 Doan was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Miss Kelly Phuong Doan, NURSE PRACTITIONER · NPI 1477154599
Family physician in Fraser, Michigan. Individual provider, active in the CMS NPPES registry since November 4, 2020.
## Identity
- **NPI:** 1477154599 (Entity type: Individual)
- **Enumerated:** November 4, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704335421 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 33021 GARFIELD RD, Fraser, MI 48026-1800
- **Phone:** (586) 293-5012
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Swetech Medical Center, P.C. (NPI 1255427209, Clinton Township, MI); Dhhs Ihs Phoenix (NPI 1184901829, Supai, AZ); Irene Benn Medical Center (NPI 1841535317, Moapa, NV); Dhhs Ihs Phoenix Area (NPI 1396022026, Havasu Lake, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1477154599) · Data from the CMS NPPES public registry.