1. Home
  2. Directory
  3. Michigan
  4. Saint Clair Shores
  5. Nurse Practitioner
  6. NPI Profile

MRS. CAITLIN MARIE KELLY AG-ACNP
NPI 1629581970
Nurse Practitioner - Acute Care in Saint Clair Shores, MI

Active since November 08, 2017PECOS Enrolled
29001 HARPER AVE, SAINT CLAIR SHORES, MI 48081(586) 778-0664(586) 778-0396 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2019, Nov 8, 2017 (2 updates tracked since 2017).

About Mrs. Caitlin Marie Kelly Ag-acnp NPPES

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

MRS. CAITLIN MARIE KELLY AG-ACNP (NPI 1629581970) is an individual acute care provider in Saint Clair Shores, Michigan, licensed in Michigan (4704299955) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629581970
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. CAITLIN MARIE KELLYCredential: AG-ACNP
Location Address29001 HARPER AVESaint Clair Shores, MI 48081-2711
Mailing Address30025 Champine StSaint Clair Shores, MI 48082-1653 · (586) 504-0296
Phone(586) 778-0664
Fax(586) 778-0396
Sole ProprietorNo
Enumeration DateNovember 8, 2017
Last NPPES UpdateApril 23, 20192 updates tracked since enumeration
✔ NPI 1629581970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704299955
29001 HARPER AVE, Saint Clair Shores, MI 48081
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Caitlin Marie Sheardy Ag-acnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Caitlin Marie Kelly Ag-acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAND SHEORAN
Nurse Practitioner (Family)
29001 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 778-0664
KIDNEY CARE SPECIALISTS OF MICHIGAN PC
Internal Medicine (Nephrology)
29001 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 778-0664
HOME DIALYSIS SPECIALTY CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
29001 HARPER AVE
ST CLR SHORES, MI 48081
Macomb County (248) 642-5038
BLESSING N. OKORONKWO M.D.
Internal Medicine (Nephrology)
29001 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 778-0664
KIDNEY CARE SPECIALISTS OF MICHIGAN
Clinic/Center (Medical Specialty)
29001 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 778-0664
DR. JENNIFER ODREN D.O.
Internal Medicine (Nephrology)
29001 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 778-0664
DR. FATEN S AYYOUB MD
Internal Medicine (Nephrology)
29001 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 778-0664
RICHARD JOHN CROSS MD
Internal Medicine (Nephrology)
29001 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 778-0664

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 Caitlin Kelly's NPI number?

The NPI number for Caitlin Kelly is 1629581970. It was assigned to this individual provider in the NPPES registry on November 8, 2017. The provider is also known as Ms. Caitlin Marie Sheardy Ag-Acnp.

Where is Caitlin Kelly located?

Caitlin Kelly practices at 29001 Harper Ave, Saint Clair Shores, MI 48081. The listed phone number is (586) 778-0664.

What is Caitlin Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Caitlin Kelly enrolled in Medicare?

Yes. Caitlin Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caitlin Kelly was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.