TAMARA JO KELLEY NP-C
NPI 1477835874
Nurse Practitioner in Jackson, MI
About Tamara Jo Kelley Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAMARA JO KELLEY NP-C (NPI 1477835874) is an individual nurse practitioner in Jackson, Michigan, licensed in Michigan (4704220283) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Bronson Battle Creek Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
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
Tamara Jo Kelley Np-c 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
3Medicare enrollment records show Tamara Kelley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MI 49201
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: W.A. Foote Memorial Hospital
- 225 clinicians in this Medicare group
Battle Creek, MI 49017
- Reassigned Medicare billing, Michigan enrollment
- 24 clinicians in this Medicare group
Battle Creek, MI 49015
- Reassigned Medicare billing, Michigan enrollment
- 25 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bronson Battle Creek Hospital
Acute Care Hospitals · Battle Creek, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tamara Kelley's NPI number?
The NPI number for Tamara Kelley is 1477835874. It was assigned to this individual provider in the NPPES registry on September 13, 2011.
Where is Tamara Kelley located?
Tamara Kelley practices at 3418 Mayapple Ln Apt 11, Jackson, MI 49201. The listed phone number is (517) 240-9399.
What is Tamara Kelley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tamara Kelley enrolled in Medicare?
Yes. Tamara Kelley 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 Tamara Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Kelley reassigns Medicare benefits to 3 organizations: Wa Foote Memorial Hospital Inc. (Jackson, MI), Summit Pointe (Battle Creek, MI) and Bronson-Acadia Joint Venture, LLC (Battle Creek, 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 Tamara Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tamara Kelley 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 and 3 other insurers list Tamara Kelley 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 Tamara Kelley affiliated with any hospitals?
According to CMS data, Tamara Kelley is affiliated with Bronson Battle Creek Hospital.
When was this NPI record last updated?
The NPPES record for Tamara Kelley was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Tamara Jo Kelley, NP-C · NPI 1477835874
Nurse Practitioner physician in Jackson, Michigan. Individual provider, active in the CMS NPPES registry since September 13, 2011.
## Identity
- **NPI:** 1477835874 (Entity type: Individual)
- **Enumerated:** September 13, 2011
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4704220283 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3418 MAYAPPLE LN APT 11, Jackson, MI 49201-7286
- **Phone:** (517) 240-9399
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Wa Foote Memorial Hospital Inc. (NPI 1083971477, Jackson, MI); Summit Pointe (NPI 1700833555, Battle Creek, MI); Bronson-Acadia Joint Venture, LLC (NPI 1083337372, Battle Creek, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 23, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1477835874) · Data from the CMS NPPES public registry.