DR. KELLY ANNE LEVASSEUR D.O.
NPI 1891904462
Pediatrics - Pediatric Emergency Medicine in Royal Oak, MI

Active since May 21, 2007PECOS Enrolled
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 284-3270 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kelly Anne Levasseur D.o. NPPES

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

DR. KELLY ANNE LEVASSEUR D.O. (NPI 1891904462) is an individual pediatric emergency medicine provider in Royal Oak, Michigan, licensed in Michigan (5101016826) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891904462
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. KELLY ANNE LEVASSEURCredential: D.O.
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address1253 Lake Park DrBirmingham, MI 48009-1090 · (248) 284-3270
Sole ProprietorYes
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1891904462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MI · 5101016826
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
3601 W 13 MILE RD, Royal Oak, MI 48073

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Anne Levasseur D.o. 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 Reassignment

Medicare enrollment records show Kelly Levasseur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Practitioner
3901 BEAUBIEN
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 360 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.

Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073

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 Levasseur's NPI number?

The NPI number for Kelly Levasseur is 1891904462. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Kelly Levasseur located?

Kelly Levasseur practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 284-3270.

What is Kelly Levasseur's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Kelly Levasseur enrolled in Medicare?

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

Which organization bills Medicare for Kelly Levasseur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Levasseur reassigns Medicare benefits to University Pediatricians (Detroit, 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 Kelly Levasseur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Levasseur accept?

Health plans from Priority Health list Kelly Levasseur 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 Levasseur was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.