KELLY SCHULTZ PA-C
NPI 1861975476
Physician Assistant in Portage, MI

Q: What is Kelly Schultz's NPI number?

The NPI number for Kelly Schultz is 1861975476. It was assigned to this individual provider in the NPPES registry on September 10, 2018. The provider is also known as Kelly Vigansky Pa-C.

Q: What is Kelly Schultz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Schultz was last updated on October 7, 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.

Active since September 10, 2018PECOS EnrolledAccepts Medicare Assignment

2725 AIRVIEW BLVD STE 105, PORTAGE, MI 49002(269) 349-8386(269) 349-8397 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2025, Jan 22, 2019, Sep 10, 2018 (3 updates tracked since 2018).

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About Kelly Schultz Pa-c NPPES

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

KELLY SCHULTZ PA-C (NPI 1861975476) is an individual physician assistant in Portage, Michigan, licensed in Michigan (5601008809) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Joseph, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1861975476

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLY SCHULTZCredential: PA-C

Location Address2725 AIRVIEW BLVD STE 105Portage, MI 49002-1804

Mailing AddressPo Box 40412Belfast, ME 04915-1255 · (248) 824-6500 · Fax (855) 618-6655

Phone(269) 349-8386

Fax(269) 349-8397

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 10, 2018

Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1861975476 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 · 5601008809

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.

2725 AIRVIEW BLVD STE 105, Portage, MI 49002

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Other Names 1

Former Name (1)Kelly Vigansky Pa-c

Secondary Practice Location 1

Location 11234 Napier AveSaint Joseph, MI 49085-2112 · Phone (269) 983-8300

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Schultz Pa-c 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.

PECOS PAC ID8022352657

PECOS Enrollment IDI20181207001083

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.

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

31 services24 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49002 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 10

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

MS. MICHELE MARIE BROCK NP

Nurse Practitioner (Gerontology)