KELSEY KIMBLE PAC
NPI 1558645291
Physician Assistant in Jackson, MI

Active since September 29, 2011PECOS EnrolledAccepts Medicare Assignment
505 N JACKSON ST, JACKSON, MI 49201(517) 748-5500(517) 783-2728 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelsey Kimble Pac NPPES

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

KELSEY KIMBLE PAC (NPI 1558645291) is an individual physician assistant in Jackson, Michigan, licensed in Michigan (5601006175) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1558645291
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY KIMBLECredential: PAC
Location Address505 N JACKSON STJackson, MI 49201-1266
Mailing Address240 W Carleton RdHillsdale, MI 49242-5034 · (517) 212-8140 · Fax (517) 212-8141
Fax(517) 783-2728
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 29, 2011
Last NPPES UpdateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
NPI 1558645291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601006175
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5601006175 (MI)
505 N JACKSON ST, Jackson, MI 49201

Accepted 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 Kimble Pac 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 ID1951574060
PECOS Enrollment IDI20111107000409
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
32 services22 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician 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.

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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers21 claims70 services$4.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims18 services$0.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Social Worker (Clinical)
505 N JACKSON ST
JACKSON, MI 49201
Nurse Practitioner (Family)
505 N JACKSON ST
JACKSON, MI 49201
Obstetrics & Gynecology
505 N JACKSON ST
JACKSON, MI 49201
Family Medicine
505 N JACKSON ST
JACKSON, MI 49201
Internal Medicine
505 N JACKSON ST
JACKSON, MI 49201
Community Health Worker
505 N JACKSON ST
JACKSON, MI 49201
Dentist
505 N JACKSON ST
JACKSON, MI 49201
Social Worker (Clinical)
505 N JACKSON ST
JACKSON, MI 49201

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 Kimble's NPI number?

The NPI number for Kelsey Kimble is 1558645291. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Where is Kelsey Kimble located?

Kelsey Kimble practices at 505 N Jackson St, Jackson, MI 49201. The listed phone number is (517) 748-5500.

What is Kelsey Kimble's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelsey Kimble enrolled in Medicare?

Yes. Kelsey Kimble 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 Kimble 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 Kelsey Kimble 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 Kimble affiliated with any hospitals?

According to CMS data, Kelsey Kimble is affiliated with Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Kelsey Kimble was last updated on January 28, 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.