DR. KELLY CARMELA KETCHUM MD
NPI 1942739842
Psychiatry & Neurology - Psychiatry in Mt Pleasant, MI

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
2790 HEALTH PKWY, MT PLEASANT, MI 48858(989) 953-5320(899) 953-5329 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2021, Feb 19, 2019, Jun 6, 2017 (3 updates tracked since 2017).

About Dr. Kelly Carmela Ketchum Md NPPES

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

DR. KELLY CARMELA KETCHUM MD (NPI 1942739842) is an individual psychiatry provider in Mt Pleasant, Michigan, licensed in Michigan (4351036514) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2017).

NPPES Registry Identity

NPI1942739842
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KELLY CARMELA KETCHUMCredential: MD
Location Address2790 HEALTH PKWYMt Pleasant, MI 48858-6934
Mailing Address2790 Health PkwyMt Pleasant, MI 48858-6934 · (989) 953-5320 · Fax (899) 953-5329
Fax(899) 953-5329
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2017
Enumeration DateJune 6, 2017
Last NPPES UpdateApril 9, 20213 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
NPI 1942739842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in MI · 4351036514 Licensed in MI · 4301112519
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2790 HEALTH PKWY, Mt Pleasant, MI 48858

Accepted 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

Dr. Kelly Carmela Ketchum Md 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 ID8325318835
PECOS Enrollment IDI20210422000731
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48858 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
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 20

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

Pharmacist
2790 HEALTH PKWY
MT PLEASANT, MI 48858
Physician Assistant
2790 HEALTH PKWY
MT PLEASANT, MI 48858
Social Worker
2790 HEALTH PKWY
MT PLEASANT, MI 48858
Social Worker (Clinical)
2790 HEALTH PKWY
MT PLEASANT, MI 48858
Nurse Practitioner (Family)
2790 HEALTH PKWY
MOUNT PLEASANT, MI 48858
Social Worker (Clinical)
2790 HEALTH PKWY
MT PLEASANT, MI 48858
Community Health Worker
2790 HEALTH PKWY
MT PLEASANT, MI 48858
Community Health Worker
2790 HEALTH PKWY
MT PLEASANT, MI 48858

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942739842, enumerated as an "individual" on June 06, 2017.

The provider is located at 2790 HEALTH PKWY MT PLEASANT, MI 48858 and the phone number is (989) 953-5320.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: McLaren Health Plan Community and Priority Health. Please consult your insurance carrier or call the provider to verify.