KELSIE PASSMORE
NPI 1639660947
Physician Assistant in Fairview, MI

Q: What is Kelsie Passmore's NPI number?

The NPI number for Kelsie Passmore is 1639660947. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Q: What is Kelsie Passmore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelsie Passmore was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment

1910 E MILLER RD, FAIRVIEW, MI 48621(989) 848-5644 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2026, Nov 18, 2019, May 22, 2018 (3 updates tracked since 2018).

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About Kelsie Passmore NPPES

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

KELSIE PASSMORE (NPI 1639660947) is an individual physician assistant in Fairview, Michigan and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Wayne State University School Of Medicine (2018).

NPPES Registry Identity

NPI1639660947

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELSIE PASSMORE

Location Address1910 E MILLER RDFairview, MI 48621-8731

Mailing AddressPo Box 427Hillman, MI 49746-0427 · (989) 848-5644

Phone(989) 848-5644

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2018

Enumeration DateMay 22, 2018

Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1639660947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

1910 E MILLER RD, Fairview, MI 48621

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Kelsie Passmore 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 ID7719237411

PECOS Enrollment IDI20180829004393

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.

Hospital Affiliations CMS Care Compare 4

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230041

Location1900 Columbus AveBay City, MI 48708 · Bay County

Emergency services Birthing friendly

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230058

Location1100 E Michigan AveGrayling, MI 49738 · Crawford County

Emergency services Birthing friendly

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230080

Location1221 South DriveMount Pleasant, MI 48858 · Isabella County

Emergency services Birthing friendly

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230095

Location2463 South M-30West Branch, MI 48661 · Ogemaw County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48621 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 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$21.28 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers24 claims24 services$6.51 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers19 claims19 services$119.07 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$215.40 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 12

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

MCLAREN BAY REGION

Family Medicine