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KELLY MURDOCK PA-C
NPI 1962757294
Physician Assistant in Allen Park, MI

Active since July 24, 2012PECOS Enrolled
17500 FEDERAL DR, STE 750, ALLEN PARK, MI 48101(313) 982-1370 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Murdock Pa-c NPPES

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

KELLY MURDOCK PA-C (NPI 1962757294) is an individual physician assistant in Allen Park, Michigan, licensed in Michigan (5601007623) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962757294
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY MURDOCKCredential: PA-C
Location Address17500 FEDERAL DR, STE 750Allen Park, MI 48101-3652
Mailing Address21654 E River RdGrosse Ile, MI 48138-1336 · (906) 235-0263
Phone(313) 982-1370
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 24, 2012
Last NPPES UpdateJanuary 4, 2016
✔ NPI 1962757294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601007623
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
17500 FEDERAL DR, Allen Park, MI 48101
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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, Priority Health 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 (PECOS)

Kelly Murdock Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294985479
PECOS Enrollment IDI20160203001363
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.

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48101 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$86.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

SHAHWAR KHAN MD
Family Medicine
17500 FEDERAL DR
ALLEN PARK, MI 48101
Wayne County (313) 982-1370
RONALD LAMBERT P.A.
Physician Assistant
17500 FEDERAL DR, SUITE 750
ALLEN PARK, MI 48101
Wayne County (615) 778-4066
CHRISTOPHER F GALUS M.D.
Preventive Medicine (Occupational Medicine)
17500 FEDERAL DR, SUITE 750
ALLEN PARK, MI 48101
Wayne County (615) 778-4066
JOSEPH GAYATAO PT
Physical Therapist
17500 FEDERAL DR, SUITE 750
ALLEN PARK, MI 48101
Wayne County (615) 778-4066
AMERICAN CURRENT CARE OF MICHIGAN, P.C.
Clinic/Center (Urgent Care)
17500 FEDERAL DR, SUITE 750
ALLEN PARK, MI 48101
Wayne County (313) 982-1370

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 Murdock's NPI number?

The NPI number for Kelly Murdock is 1962757294. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Where is Kelly Murdock located?

Kelly Murdock practices at 17500 Federal Dr Ste 750, Allen Park, MI 48101. The listed phone number is (313) 982-1370.

What is Kelly Murdock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Murdock enrolled in Medicare?

Yes. Kelly Murdock is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Murdock accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Kelly Murdock 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 Murdock affiliated with any hospitals?

According to CMS data, Kelly Murdock is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Kelly Murdock was last updated on January 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.