KELSEY COMBS
NPI 1790691079
Nurse Anesthetist, Certified Registered in Southfield, MI
About Kelsey Combs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY COMBS (NPI 1790691079) is an individual nurse anesthetist, certified registered in Southfield, Michigan, licensed in Michigan (4704357085) and active in the NPI registry since August 2026. The provider is a graduate of Wayne State University School Of Medicine (2026).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsey Combs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelsey Combs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 122 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
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 Kelsey Combs's NPI number?
The NPI number for Kelsey Combs is 1790691079. It was assigned to this individual provider in the NPPES registry on August 19, 2026.
Where is Kelsey Combs located?
Kelsey Combs practices at 16001 W 9 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 849-3000.
What is Kelsey Combs's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kelsey Combs enrolled in Medicare?
Yes. Kelsey Combs is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelsey Combs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Combs reassigns Medicare benefits to Henry Ford Health Providence Hospital (Southfield, 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 Kelsey Combs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelsey Combs was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kelsey Combs · NPI 1790691079
Nurse Anesthetist, Certified Registered physician in Southfield, Michigan. Individual provider, active in the CMS NPPES registry since August 19, 2026.
## Identity
- **NPI:** 1790691079 (Entity type: Individual)
- **Enumerated:** August 19, 2026
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704357085 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 16001 W 9 MILE RD, Southfield, MI 48075-4818
- **Phone:** (248) 849-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Henry Ford Health Providence Hospital (NPI 1851339196, Southfield, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2026
## Record status
- **NPPES last updated:** August 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790691079) · Data from the CMS NPPES public registry.