Mark Donald Kelley, FNP-BC - Medicare Nurse Practitioner in Grand Rapids, MI

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Mark Donald Kelley, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Grand Rapids, Michigan. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ecs Western Michigan Pc and his current practice location is 100 Michigan St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 391-1680.

Mark Donald Kelley is licensed to practice in Michigan (license number 4704173671) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831130996.

Contact Information

Mark Donald Kelley, FNP-BC
100 Michigan St Ne,
Grand Rapids, MI 49503-2560
(616) 391-1680
Not Available

Map and Direction




Provider's Profile

Full NameMark Donald Kelley
GenderMale
SpecialityNurse Practitioner
Experience19 Years
Location100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Donald Kelley graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1831130996
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 12/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1951314400
  • Enrollment ID: I20060728000319

Medical Identifiers

Medical identifiers for Mark Donald Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831130996NPI-NPPES
P00725240OtherMIRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704173671 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spectrum Health Big Rapids HospitalBig rapids, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ecs Western Michigan Pc8628327384184

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark Donald Kelley allows following entities to bill medicare on his behalf.
Entity NameMunson Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083761860
PECOS PAC ID: 3072426287
Enrollment ID: O20040108000904
Entity NameHastings Emergency Physicians Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699709360
PECOS PAC ID: 8921001959
Enrollment ID: O20060814000053
Entity NameVisionary Medical Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538216569
PECOS PAC ID: 1951404185
Enrollment ID: O20070308000475
Entity NameEcs Northern Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992231377
PECOS PAC ID: 3173892627
Enrollment ID: O20170627001889
Entity NameEcs Western Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992281000
PECOS PAC ID: 8628327384
Enrollment ID: O20180814003001
Entity NameEcs Lakeshore Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477030476
PECOS PAC ID: 4082964036
Enrollment ID: O20180912002039

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Donald Kelley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Donald Kelley, FNP-BC
2537 Momentum Pl,
Chicago, IL 60689-0001

Ph: (616) 975-1845		Mark Donald Kelley, FNP-BC
100 Michigan St Ne,
Grand Rapids, MI 49503-2560

Ph: (616) 391-1680

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.