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THERESA KELLY PA
NPI 1679844104
Physician Assistant in Sterling Hts, MI

Active since January 13, 2012PECOS Enrolled
43200 DEQUINDRE RD, STE104, STERLING HTS, MI 48314(586) 799-4350(586) 799-4279 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2018, Mar 21, 2017 (2 updates tracked since 2017).

About Theresa Kelly Pa NPPES

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

THERESA KELLY PA (NPI 1679844104) is an individual physician assistant in Sterling Hts, Michigan, licensed in Michigan (5601006213) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679844104
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHERESA KELLYCredential: PA
Location Address43200 DEQUINDRE RD, STE104Sterling Hts, MI 48314-1707
Mailing Address49540 Nautical DrChesterfield, MI 48047-2334 · (248) 767-8456
Phone(586) 799-4350
Fax(586) 799-4279
Sole ProprietorNo
Enumeration DateJanuary 13, 2012
Last NPPES UpdateDecember 19, 20182 updates tracked since enumeration
✔ NPI 1679844104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601006213
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.
43200 DEQUINDRE RD, Sterling Hts, MI 48314
Open in Google Maps ↗

Other Identifiers 1

Other5601006213MI · State License

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 (PECOS)

Theresa Kelly Pa 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 48314 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES 15

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

LAURA S HENDERSON MSW CSW
Social Worker (Clinical)
43200 DEQUINDRE RD, STE 104
STERLING HTS, MI 48314
Macomb County (586) 799-4350
DR. ANTONIO PHILLIP MORICI DC
Chiropractor
43200 DEQUINDRE RD, STE 150
STERLING HEIGHTS, MI 48314
Macomb County (586) 997-2441
ROYAL OAK OB GYN PC
Obstetrics & Gynecology
43200 DEQUINDRE RD, STE 104
STERLING HEIGHTS, MI 48314
Macomb County (586) 799-4350
DR. JOHN G. PAPPAS D.D.S.
Dentist (General Practice)
43200 DEQUINDRE RD, SUITE 107
STERLING HEIGHTS, MI 48314
Macomb County (586) 731-1999
HANI MEKHAEL MD PLLC
Psychiatry & Neurology (Psychiatry)
43200 DEQUINDRE RD, STE 104
STERLING HEIGHTS, MI 48314
Macomb County (586) 799-4350
JOSEPHINE ADIB ISKANDER MD
Internal Medicine
43200 DEQUINDRE RD, STE 104
STERLING HEIGHTS, MI 48314
Macomb County (586) 799-4350
DR. JAMES J CARIS D.D.S.
Dentist (General Practice)
43200 DEQUINDRE RD, SUITE 107
STERLING HEIGHTS, MI 48314
Macomb County (586) 731-1999
MRS. EMMA LAVINIA MANUSZAK NP
Nurse Practitioner (Psychiatric/Mental Health)
43200 DEQUINDRE RD
STERLING HEIGHTS, MI 48314
Macomb County (586) 799-4350

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 Theresa Kelly's NPI number?

The NPI number for Theresa Kelly is 1679844104. It was assigned to this individual provider in the NPPES registry on January 13, 2012.

Where is Theresa Kelly located?

Theresa Kelly practices at 43200 Dequindre Rd Ste104, Sterling Hts, MI 48314. The listed phone number is (586) 799-4350.

What is Theresa Kelly's specialty?

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

Is Theresa Kelly enrolled in Medicare?

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

What insurance does Theresa Kelly accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Theresa Kelly 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.

When was this NPI record last updated?

The NPPES record for Theresa Kelly was last updated on December 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.