Individual provider Active NPI

Margaret Clare Kelly, FNP-BC

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1124306212
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704205067 Issued in MI
Practice address
3901 Beaubien
Children'S Hospital of Mi
Detroit, MI 48201
Phone
(313) 966-0128
Fax
(313) 966-0665
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71010657A IN
Nurse Practitioner 363L00000X APRN.CNP.019976 OH
Pediatric Nurse Practitioner 363LP0200X 4704205067 MI
Nurse Practitioner 363L00000X SP021697 PA
Family Nurse Practitioner 363LF0000X 4704205067 MI Primary
Nurse Practitioner 363L00000X 6998-33 WI

Addresses

Primary practice location

3901 Beaubien
Children'S Hospital of Mi
Detroit, MI 48201

Mailing address

Ascension St. John Hospital
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-4000

Other practice location 1

206 E Brown St
East Stroudsburg, PA 18301-3094
Phone (570) 476-3353

Other practice location 2

1101 Michigan Ave
Logansport, IN 46947-1528
Phone (574) 753-7541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI, OH, PA, IN5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20130312000502 MI Practitioner - Nurse Practitioner 0345495685 Reassigns benefits to 9 organizations
I20160802001237 WI Practitioner - Nurse Practitioner 0345495685 Reassigns benefits to 2 organizations
I20170405001392 OH Practitioner - Nurse Practitioner 0345495685 Reassigns benefits to 2 organizations
I20201119000019 PA Practitioner - Nurse Practitioner 0345495685 Reassigns benefits to 2 organizations
I20201229001671 IN Practitioner - Nurse Practitioner 0345495685 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interlochen Emergency Group PCGroup PAC ID 3577918606, 49 clinicians
Hawk Emergency Group, P.C.Group PAC ID 6800241050, 55 clinicians
Aspirus Riverview Hospital and Clinics IncGroup PAC ID 4587658182, shared by 6 NPIs, 166 clinicians
Emergency Physician Associates of Pennsylvania PCGroup PAC ID 5597663252, 88 clinicians
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024

2031 Peach St
Wisconsin Rapids, WI 54494-5181
Phone (715) 423-0122

206 E Brown St
East Stoudsburg, PA 18301-3006
Phone (570) 476-3353

9690 E 116TH St
Riverview Health Freestanding Emergency Urg
Fishers, IN 46037-2838
Phone (317) 773-0760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
73.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.019976OHMDNurse Practitioner
SP021697PAMDNurse Practitioner
6998-33WIMDNurse Practitioner
4704205067MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interlochen Emergency Group, P.C. Nurse Practitioner CurrentSince Apr 12, 2025 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Current Accepting new patients
Riverview Hospital Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Nov 3, 2013 Accepting new patients
Emergency Professionals of Indiana, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Observation Emergency Physicians, P.C. CurrentSince Dec 11, 2017 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. CurrentSince Oct 12, 2020 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Henry Ford Semi Medical Group CurrentSince Nov 1, 2013 Accepting new patients
VHS Physicians of Michigan CurrentSince Jan 5, 2013 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC CurrentSince May 1, 2025 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Jul 19, 2014 Accepting new patients
Emergency Professionals of Michigan, P.C. CurrentSince Dec 1, 2017 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Jun 15, 2019 Accepting new patients
Henry Ford Semi Medical Group Current Accepting new patients
Hawk Emergency Group, P.C. Nurse Practitioner CurrentSince Jun 11, 2025 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Jun 15, 2019 Accepting new patients
Riverview Hospital CurrentSince Oct 1, 2025 Accepting new patients
Inphynet Primary Care Physicians Midwest, S.C. Nurse Practitioner CurrentSince Dec 28, 2020 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Jul 19, 2014 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Ohio Emergency Professionals Inc Nurse Practitioner CurrentSince Feb 1, 2021 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Nov 1, 2013 Accepting new patients
Emergency Physician Associates of Wisconsin SC Nurse Practitioner CurrentSince Jul 1, 2016 Accepting new patients
Henry Ford Health St. John Hospital Nurse Practitioner CurrentSince Nov 3, 2013 Accepting new patients
University Pediatricians Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

21000 E 12 Mile Rd
Ste 105
St Clr Shores, MI 48081
Phone (586) 498-3606

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

45634 Schoenherr Rd
Utica, MI 48315
Phone (586) 532-8440

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

210 N Main St
London, OH 43140
Phone (740) 845-7343

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: mkelly940761@direct.osumc.edu

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1124306212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ASCENSION ST. JOHN HOSPITAL",
            "address_2": "22101 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-343-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN",
            "address_2": "CHILDREN'S HOSPITAL OF MI",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-966-0128",
            "fax_number": "313-966-0665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 E Brown St",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183013094",
            "country_code": "US",
            "telephone_number": "570-476-3353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469471528",
            "country_code": "US",
            "telephone_number": "574-753-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARGARET",
        "middle_name": "CLARE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010657A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.019976",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704205067",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP021697",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704205067",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "6998-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.