LYNDSEY KELLY
NPI 1962373993
Nurse Practitioner in Waterford, MI

Q: What is Lyndsey Kelly's NPI number?

The NPI number for Lyndsey Kelly is 1962373993. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Q: What is Lyndsey Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lyndsey Kelly was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 15, 2025PECOS EnrolledAccepts Medicare Assignment

4568 W WALTON BLVD STE D, WATERFORD, MI 48329(855) 466-3631(833) 973-4493 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Sep 15, 2025 (2 updates tracked since 2025).

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About Lyndsey Kelly NPPES

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

LYNDSEY KELLY (NPI 1962373993) is an individual nurse practitioner in Waterford, Michigan, licensed in Michigan (4704356731) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1962373993

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLYNDSEY KELLY

Location Address4568 W WALTON BLVD STE DWaterford, MI 48329-4900

Mailing Address4568 W Walton Blvd Ste DWaterford, MI 48329-4900 · (855) 466-3631 · Fax (833) 973-4493

Phone(855) 466-3631

Fax(833) 973-4493

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 15, 2025

Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1962373993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704356731

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4568 W WALTON BLVD STE D, Waterford, MI 48329

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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

Lyndsey Kelly 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 ID1355837253

PECOS Enrollment IDI20251230003108

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 48329 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 8

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

BETHANY HILL FNP-BC

Nurse Practitioner

4568 W WALTON BLVD STE D
WATERFORD TOWNSHIP, MI 48329

Oakland County (855) 466-3631

TRANSITIONAL CARE SERVICES, LLC

Nurse Practitioner (Gerontology)