Kelly F Esper

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601002048 Issued in MI

Practice address

9043 Glenwood LN
Northville, MI 48168-9129

Phone

(248) 756-0795

NPI assigned

Jul 2, 2020

Last updated

Jul 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

• Integrated Visiting Physician Solutions PC

  • Multi-Specialty Clinic/Center
  • Southfield, MI
  • NPI 1891109641
  Medicare reassignment
• Traveling Physician Services PC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1366337826
  Medicare reassignment

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1073130241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9043 GLENWOOD LN",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481689129",
            "telephone_number": "248-756-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9043 GLENWOOD LN",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481689129",
            "telephone_number": "248-756-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPER",
        "first_name": "KELLY",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Envision Medical Group PLLC
• Envision Medical Group PLLC
• Mary Ericson, LMT
• Es Health Services, LLC
• Lisa Marie Esparza-Sadikot
• Rebecca M Esper
• Rochelle A Eubanks-Daniel, MD
• Eucalyptus Counseling Services PLC
• Maria Evans, L.L.P.
• Excel Care LLC

• Medical Physician Assistant in Northville, MI
• Providers in Northville, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.