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

Q: What is Kelly Ketchum's NPI number?

The NPI number for Kelly Ketchum is 1942739842. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Q: What is Kelly Ketchum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Ketchum was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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: August 16, 2026.

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

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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

Phone(989) 953-5320

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority 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

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.

PATRICIA JACKSON

Physician Assistant

2790 HEALTH PKWY
MOUNT PLEASANT, MI 48858

Isabella County (989) 953-5320

JAMIE SMITH

Physician Assistant

2790 HEALTH PKWY
MT PLEASANT, MI 48858

Isabella County (989) 953-5320

TARA LYNN HERALD

Community Health Worker

2790 HEALTH PKWY
MT PLEASANT, MI 48858

Isabella County (989) 953-5320

ALESHA RUTH HALL TLLP

Psychologist (Clinical)

2790 HEALTH PKWY
MOUNT PLEASANT, MI 48858

Isabella County (989) 953-5320

DENELLE MOHAMMED MD

Family Medicine

2790 HEALTH PKWY
MOUNT PLEASANT, MI 48858

Isabella County (989) 953-5320

ISABELLA CITIZENS FOR HEALTH, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

2790 HEALTH PKWY
MT PLEASANT, MI 48858

Isabella County (989) 953-5320

SHAMEL AMIN M.D.

Pediatrics (Pediatric Gastroenterology)

2790 HEALTH PKWY
MT PLEASANT, MI 48858

Isabella County (989) 779-5270

DEREK MATTHEW GAGER

Community Health Worker

2790 HEALTH PKWY
MT PLEASANT, MI 48858

Isabella County (989) 953-5320

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 Ketchum's NPI number?

The NPI number for Kelly Ketchum is 1942739842. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Kelly Ketchum located?

Kelly Ketchum practices at 2790 Health Pkwy, Mt Pleasant, MI 48858. The listed phone number is (989) 953-5320.

What is Kelly Ketchum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kelly Ketchum enrolled in Medicare?

Yes. Kelly Ketchum 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 Ketchum accept?

Health plans from McLaren Health Plan Community and Priority Health list Kelly Ketchum 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 Ketchum was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.