KELLIE WENDZINSKI DO
NPI 1710500640
Family Medicine in Grosse Pointe Park, MI
About Kellie Wendzinski Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE WENDZINSKI DO (NPI 1710500640) is an individual family medicine provider in Grosse Pointe Park, Michigan, licensed in Michigan (5101027350) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kellie Wendzinski Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Kellie Wendzinski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- 453 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Grosse Pointe
Acute Care Hospitals · Grosse Pointe, MIBeaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GROSSE POINTE PARK, MI 48230
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 Kellie Wendzinski's NPI number?
The NPI number for Kellie Wendzinski is 1710500640. It was assigned to this individual provider in the NPPES registry on May 27, 2020.
Where is Kellie Wendzinski located?
Kellie Wendzinski practices at 15200 Kercheval Ave, Grosse Pointe Park, MI 48230. The listed phone number is (947) 519-6700.
What is Kellie Wendzinski's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kellie Wendzinski enrolled in Medicare?
Yes. Kellie Wendzinski 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.
Which organization bills Medicare for Kellie Wendzinski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Wendzinski reassigns Medicare benefits to Oakwood Ambulatory LLC (Dearborn, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kellie Wendzinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kellie Wendzinski 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 2 other insurers list Kellie Wendzinski 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 Kellie Wendzinski affiliated with any hospitals?
According to CMS data, Kellie Wendzinski is affiliated with Beaumont Hospital - Grosse Pointe and Beaumont Hospital Royal Oak.
When was this NPI record last updated?
The NPPES record for Kellie Wendzinski was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kellie Wendzinski, DO · NPI 1710500640
Family Medicine physician in Grosse Pointe Park, Michigan. Individual provider, active in the CMS NPPES registry since May 27, 2020.
## Identity
- **NPI:** 1710500640 (Entity type: Individual)
- **Enumerated:** May 27, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 5101027350 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 15200 KERCHEVAL AVE, Grosse Pointe Park, MI 48230-1356
- **Phone:** (947) 519-6700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Oakwood Ambulatory LLC (NPI 1003829441, Dearborn, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2020
## Record status
- **NPPES last updated:** December 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1710500640) · Data from the CMS NPPES public registry.