Kelsey A Austin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704321312 Issued in MI

Practice address

9640 Commerce Rd Ste 104
Commerce Township, MI 48382-4167

Phone

(248) 363-1500

NPI assigned

Jan 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Commerce Internal Medicine, P.C.

  • Internal Medicine Physician
  • Commerce TWP, MI
  • NPI 1730139684
  NPD

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1104530591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD STE 104",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824167",
            "telephone_number": "248-363-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD STE 104",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824167",
            "telephone_number": "248-363-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "KELSEY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704321312",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704321312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Grant Counseling LLC
• Marisa M Auernhamer
• Carol Leigh Auiler, LMSW
• Michael Roy Aulicino, MD
• Ashley Austin
• Avci Medical Center
• David Harold Averbach, M.D., M.S.I.A.
• Aydin Turan, M.D. P.C.
• B Sedki DDS PLLC
• Manuela Bajan, M.D.

• Family Nurse Practitioner in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.