KELLY STASA CNP
NPI 1912378134
Nurse Practitioner - Family in Blissfield, MI

Q: What is Kelly Stasa's NPI number?

The NPI number for Kelly Stasa is 1912378134. It was assigned to this individual provider in the NPPES registry on October 14, 2015.

Q: What is Kelly Stasa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Stasa was last updated on May 20, 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.

Active since October 14, 2015PECOS EnrolledAccepts Medicare Assignment

157 W BROOKE LN, BLISSFIELD, MI 49228(517) 486-2411 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2026, Nov 3, 2023 (2 updates tracked since 2023).

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About Kelly Stasa Cnp NPPES

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

KELLY STASA CNP (NPI 1912378134) is an individual family provider in Blissfield, Michigan, licensed in Michigan (4704279024) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of University Of Toledo College Of Medicine (2015).

NPPES Registry Identity

NPI1912378134

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY STASACredential: CNP

Location Address157 W BROOKE LNBlissfield, MI 49228-8601

Mailing Address157 W Brooke LnBlissfield, MI 49228-8601

Phone(517) 486-2411

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2015

Enumeration DateOctober 14, 2015

Last NPPES UpdateMay 20, 20262 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1912378134 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

Licenses✔ Licensed in MI · 4704279024✔ Licensed in OH · COA.17942-NP

157 W BROOKE LN, Blissfield, MI 49228

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and more.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 Stasa Cnp 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 ID8224348768

PECOS Enrollment IDI20220207002403

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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

144 services89 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

101 services70 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

101 services101 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

42 services22 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

19 services18 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230005

Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County

Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49228 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

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 3

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

MAURA ANN CRESCENZO NP

Nurse Practitioner (Family)

157 W BROOKE LN
BLISSFIELD, MI 49228

Lenawee County (517) 486-2411

DR. ELISA COCCIMIGLIO MD

Family Medicine

157 W BROOKE LN
BLISSFIELD, MI 49228

Lenawee County (517) 486-2411

BLISSFIELD INTERNAL MEDICINE

Internal Medicine

157 W BROOKE LN
BLISSFIELD, MI 49228

Lenawee County (517) 486-2411

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 Stasa's NPI number?

The NPI number for Kelly Stasa is 1912378134. It was assigned to this individual provider in the NPPES registry on October 14, 2015.

Where is Kelly Stasa located?

Kelly Stasa practices at 157 W Brooke Ln, Blissfield, MI 49228. The listed phone number is (517) 486-2411.

What is Kelly Stasa's specialty?

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

Is Kelly Stasa enrolled in Medicare?

Yes. Kelly Stasa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Stasa accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and Priority Health list Kelly Stasa 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.

Is Kelly Stasa affiliated with any hospitals?

According to CMS data, Kelly Stasa is affiliated with Promedica Charles And Virginia Hickman Hospital and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Stasa was last updated on May 20, 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.