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MS. KELLY ANN DOHERTY FNP
NPI 1760034862
Nurse Practitioner - Family in Royal Oak, MI

Active since July 10, 2019PECOS Enrolled
26300 WOODWARD AVE, ROYAL OAK, MI 48067(248) 336-4000(248) 336-9137 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 16, 2025, Jul 10, 2019 (2 updates tracked since 2019).

About Ms. Kelly Ann Doherty Fnp NPPES

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

MS. KELLY ANN DOHERTY FNP (NPI 1760034862) is an individual family provider in Royal Oak, Michigan, licensed in Michigan (4704300219NSA190JQ) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760034862
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KELLY ANN DOHERTYCredential: FNP
Location Address26300 WOODWARD AVERoyal Oak, MI 48067-0917
Mailing Address18000 W 9 Mile Rd Ste 200Southfield, MI 48075-4020 · (248) 336-4000 · Fax (248) 336-9137
Phone(248) 336-4000
Fax(248) 336-9137
Sole ProprietorYes
Enumeration DateJuly 10, 2019
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1760034862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704300219NSA190JQ
26300 WOODWARD AVE, Royal Oak, MI 48067
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelly Ann Doherty Fnp 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kelly Doherty reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Epic Care Centers Inc
6.8 mi
Family Medicine
4420 E DAVISON ST
Hamtramck, MI 48212
  • Reassigned Medicare billing, Michigan enrollment
  • 35 clinicians in this Medicare group
NPI 1659145506 (313) 752-2070
Emergency Department Physicians, P.C.
13 mi
Emergency Medicine
22101 MOROSS RD
Detroit, MI 48236
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Emergency Department Physicians PC
  • 237 clinicians in this Medicare group
NPI 1225083595 (313) 343-4000
Observation Emergency Physicians, P.C.
13 mi
Emergency Medicine
22101 MOROSS RD
Detroit, MI 48236
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Observation Emergency Physicians PC
  • 158 clinicians in this Medicare group
NPI 1497920524 (313) 343-4273
Exclusive Physicians PLLC
15 mi
Multi-Specialty
911 E 9 MILE RD
Ferndale, MI 48220
  • Reassigned Medicare billing, Michigan enrollment
  • 44 clinicians in this Medicare group
NPI 1811226749 (248) 336-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48067 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 11

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

MALLORY NICOLE WALES D.C.
Chiropractor
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Oakland County (248) 546-2110
DR. NICOLAS FEDIRKO FNP-BC
Nurse Practitioner (Family)
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Oakland County (248) 336-4000
DR. KIM FORD KEZLARIAN M.D.
Family Medicine
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Oakland County (245) 546-2110
TAWNYA GULDI FNP
Nurse Practitioner (Family)
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Oakland County (248) 336-4000
KATE S DENTON PA-C
Physician Assistant
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Oakland County (248) 336-4000
EMILY ANNE GRAHAM
Physician Assistant
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Oakland County (248) 336-4000
RACHEL CAROLAN
Family Medicine
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Oakland County (248) 546-2110
EXCLUSIVE PHYSICIANS PLLC
Non-Pharmacy Dispensing Site
26300 WOODWARD AVE
ROYAL OAK, MI 48067
Oakland County (855) 234-9873

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 Kelly Doherty's NPI number?

The NPI number for Kelly Doherty is 1760034862. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Kelly Doherty located?

Kelly Doherty practices at 26300 Woodward Ave, Royal Oak, MI 48067. The listed phone number is (248) 336-4000.

What is Kelly Doherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Doherty enrolled in Medicare?

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

Which organizations bill Medicare for Kelly Doherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Doherty reassigns Medicare benefits to 4 organizations: Epic Care Centers Inc (Hamtramck, MI), Emergency Department Physicians, P.C. (Detroit, MI), Observation Emergency Physicians, P.C. (Detroit, MI) and Exclusive Physicians PLLC (Ferndale, MI). Each 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 Kelly Doherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Doherty 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 1 other insurer list Kelly Doherty 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 Kelly Doherty was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.