Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COURTNEY KISEDA
NPI 1982224465
Nurse Practitioner in Shelby Township, MI

Q: What is Courtney Kiseda's NPI number?

The NPI number for Courtney Kiseda is 1982224465. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Q: What is Courtney Kiseda'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 Courtney Kiseda was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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 April 24, 2020PECOS EnrolledAccepts Medicare Assignment

50505 SCHOENHERR RD STE 270, SHELBY TOWNSHIP, MI 48315(586) 323-6058(586) 500-8865 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 28, 2026, Jun 23, 2020, Apr 24, 2020 (3 updates tracked since 2020).

On this page

About Courtney Kiseda NPPES

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

COURTNEY KISEDA (NPI 1982224465) is an individual nurse practitioner in Shelby Township, Michigan, licensed in Michigan (4704307202) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1982224465

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCOURTNEY KISEDA

Location Address50505 SCHOENHERR RD STE 270Shelby Township, MI 48315-3141

Mailing Address50505 Schoenherr Rd Ste 270Shelby Township, MI 48315-3141 · (586) 323-6058 · Fax (586) 500-8865

Phone(586) 323-6058

Fax(586) 500-8865

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 24, 2020

Last NPPES UpdateAugust 28, 20263 updates tracked since enumeration

NPPES CertifiedAugust 28, 2026

✔ NPI 1982224465 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 · 4704307202

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.

50505 SCHOENHERR RD STE 270, Shelby Township, MI 48315

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Secondary Practice Location 1

Location 11500 E Medical Center DrAnn Arbor, MI 48109-5000 · Phone (734) 936-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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 and accepts Medicare assignment

Courtney Kiseda 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 ID3072936574

PECOS Enrollment IDI20200630002409

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

50 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48315 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 10

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

AIMEE ROSE JUNCAJ DNP

Nurse Practitioner