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KELLY ROSE MIKAIL PA-C
NPI 1497075766
Physician Assistant - Medical in Grand Rapids, MI

Active since June 09, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4100 LAKE DR SE, SUITE 200, GRAND RAPIDS, MI 49546(616) 267-7293(616) 267-7228 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Rose Mikail Pa-c NPPES

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

KELLY ROSE MIKAIL PA-C (NPI 1497075766) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601005774) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1497075766
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY ROSE MIKAILCredential: PA-C
Location Address4100 LAKE DR SE, SUITE 200Grand Rapids, MI 49546-8292
Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560
Phone(616) 267-7293
Fax(616) 267-7228
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 9, 2010
Last NPPES UpdateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1497075766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601005774
4100 LAKE DR SE, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Anthony

Other Identifiers 1

Medicaid1497075766MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.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

Kelly Rose Mikail Pa-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.

PECOS PAC ID4587858659
PECOS Enrollment IDI20101102001360
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services28 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

TELLA KATARINA MINKKINEN PT
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Kent County (616) 285-1377
RANDALL SCOTT MEISNER MD
Internal Medicine (Gastroenterology)
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Kent County (616) 267-7414
DR. MARYKAY LEHMAN M.D.
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 949-8244
GUSTAVO CUMBO-NACHELI
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
JANET DOMINOWSKI RD
Dietitian, Registered
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8950
WALTER M BRAUNOHLER M.D.
Orthopaedic Surgery
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546
Kent County (616) 267-8860
JILL C THORPE PA-C
Physician Assistant
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Kent County (616) 774-2414
PATRICIA BEGGS AT, ATC
Specialist/Technologist (Athletic Trainer)
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546
Kent County (616) 267-8565

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 Mikail's NPI number?

The NPI number for Kelly Mikail is 1497075766. It was assigned to this individual provider in the NPPES registry on June 9, 2010. The provider is also known as Kelly Anthony.

Where is Kelly Mikail located?

Kelly Mikail practices at 4100 Lake Dr SE Suite 200, Grand Rapids, MI 49546. The listed phone number is (616) 267-7293.

What is Kelly Mikail's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Mikail enrolled in Medicare?

Yes. Kelly Mikail 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 Kelly Mikail accept?

Health plans from McLaren Health Plan Community and Priority Health list Kelly Mikail 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 Kelly Mikail affiliated with any hospitals?

According to CMS data, Kelly Mikail is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Kelly Mikail was last updated on February 18, 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.