MS. KELLY ANN DOHERTY FNP
NPI 1760034862
Nurse Practitioner - Family in Royal Oak, MI
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
Specialties & Licenses
Accepted 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)
Ms. Kelly Ann Doherty Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
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.
What insurance does Kelly Doherty accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health 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 7 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.
# Ms. Kelly Ann Doherty, FNP · NPI 1760034862
Family physician in Royal Oak, Michigan. Individual provider, active in the CMS NPPES registry since July 10, 2019.
## Identity
- **NPI:** 1760034862 (Entity type: Individual)
- **Enumerated:** July 10, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704300219NSA190JQ (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 26300 WOODWARD AVE, Royal Oak, MI 48067-0917
- **Phone:** (248) 336-4000 · **Fax:** (248) 336-9137
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 16, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1760034862) · Data from the CMS NPPES public registry.