KELLI RICHARDS RN
NPI 1942011390
Nurse Practitioner - Family in Grand Rapids, MI
About Kelli Richards Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI RICHARDS RN (NPI 1942011390) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704321531) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelli Richards Rn 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelli Richards reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 2,446 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49546 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
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 Kelli Richards's NPI number?
The NPI number for Kelli Richards is 1942011390. It was assigned to this individual provider in the NPPES registry on January 15, 2025.
Where is Kelli Richards located?
Kelli Richards practices at 4100 Lake Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 267-7414.
What is Kelli Richards's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelli Richards enrolled in Medicare?
Yes. Kelli Richards 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.
Which organization bills Medicare for Kelli Richards's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Richards reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, 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 Kelli Richards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelli Richards accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kelli Richards 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 Kelli Richards affiliated with any hospitals?
According to CMS data, Kelli Richards is affiliated with Spectrum Health.
When was this NPI record last updated?
The NPPES record for Kelli Richards was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kelli Richards, RN · NPI 1942011390
Family physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since January 15, 2025.
## Identity
- **NPI:** 1942011390 (Entity type: Individual)
- **Enumerated:** January 15, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704321531 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4100 LAKE DR SE, Grand Rapids, MI 49546-8292
- **Phone:** (616) 267-7414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spectrum Health Primary Care Partners (NPI 1528374683, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942011390) · Data from the CMS NPPES public registry.