Individual provider Active NPI

Veronica Kelty, RN

  • Family Nurse Practitioner
  • Clarkston, MI
National Provider Identifier
1013729755
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704350174 Issued in MI
Practice address
7111 Dixie Hwy # 142
Clarkston, MI 48346-2077
Phone
(248) 567-2334
NPI assigned
Jan 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704350174 MI Primary
Registered Nurse 163W00000X 4704350174 MI

Addresses

Primary practice location

7111 Dixie Hwy # 142
Clarkston, MI 48346-2077

Mailing address

7111 Dixie Hwy # 142
Clarkston, MI 48346-2077
Phone (248) 567-2334

Other practice location 1

44300 5 Mile Rd
Northville, MI 48168-9504
Phone (734) 416-1883

Other names 1

  • Veronica Fradette Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230000158 MI Practitioner - Nurse Practitioner 0446746457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Mobile ClinicGroup PAC ID 9032532528, 9 clinicians

Practice addresses (Care Compare)

3050 Steeple Hill Rd
White Lake, MI 48383-1864
Phone (248) 563-5735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704350174MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Mobile Clinic CurrentSince Oct 27, 2025 Accepting new patients

Locations

7111 Dixie Hwy
Clarkston, MI 48346
Phone (248) 567-2334

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1013729755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 DIXIE HWY # 142",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462077",
            "telephone_number": "248-567-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 DIXIE HWY # 142",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462077",
            "telephone_number": "248-567-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44300 5 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481689504",
            "country_code": "US",
            "telephone_number": "734-416-1883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELTY",
        "first_name": "VERONICA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704350174",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704350174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "FRADETTE",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.