Kelly M Mercier, DO
Individual provider Active NPI Nephrology Physician · Livonia, MI
NPI 1154554749 · NPPES record last updated Sep 9, 2022
Key facts
- NPI
- 1154554749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 5101018329 (MI)
- Practice address
- 18302 Middlebelt Rd
Livonia, MI 48152-5007 - Phone
- (248) 478-1500
- Fax
- (248) 478-2798
- NPI assigned
- Aug 28, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 17
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Michigan State University College of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hypertension Nephrology Associates PC
Practice addresses (Care Compare)
18302 Middlebelt Rd
Livonia, MI 48152-5007
Phone (248) 478-1500
Hospital & facility affiliations
- FMC Dialysis - University
- DaVita Garden West Dialysis
- Greenfield HS - Livonia
- Heritage Dialysis
- DaVita Livonia Dialysis
- St Joe Mercy Hospital System Livonia
- Beaumont Hospital - Farmington Hills
- Garden City Hospital
- Huron Valley-Sinai Hospital
- Beaumont Hospital - Dearborn
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140715000225 | MI | Practitioner - Nephrology |
4183849888 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101018329 | MI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sciometrix Inc | Current |
Accepting new patients | |
| Sciometrix LLC | Current |
Accepting new patients | |
| Hypertension Nephrology Associates PC | Nephrology | Current |
Accepting new patients |
Locations
7633 E Jefferson Ave
Ste 180
Detroit, MI 48214
Phone (248) 478-1500
6255 Inkster Rd
Ste 204
Garden City, MI 48135
Phone (734) 458-4492
18302 Middlebelt Rd
Livonia, MI 48152
Phone (248) 478-1500
29409 Haggerty Rd
Ste 100
Novi, MI 48377
Phone (248) 471-0675
306 S Washington Ave
Ste 600
Royal Oak, MI 48067
15565 Northland Dr W
Ste 700
Southfield, MI 48075
Interoperability endpoints
- kmercier@direct.dmc.org
- kellymercier.hypertensionnephrologyassociates@135190.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 5101018329 | MI | Yes |
Addresses
Primary practice location
18302 Middlebelt Rd
Livonia, MI 48152-5007
Mailing address
18302 Middlebelt Rd
Livonia, MI 48152-5007
Phone (248) 478-1500
Other practice location 1
6255 Inkster Rd Ste 204
Garden City, MI 48135-2538
Phone (248) 478-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154554749 | Medicaid | MI | |
| 12670855 | Other | CAQH |
NPI Registry JSON
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1154554749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18302 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481525007",
"telephone_number": "248-478-1500",
"fax_number": "248-478-2798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18302 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481525007",
"telephone_number": "248-478-1500",
"fax_number": "248-478-2798"
}
],
"practiceLocations": [
{
"address_1": "6255 Inkster Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "MI",
"postal_code": "481352538",
"country_code": "US",
"telephone_number": "248-478-1500",
"fax_number": "248-478-2798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCIER",
"first_name": "KELLY",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-28",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "5101018329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154554749",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12670855",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
- Alice Mendelson
- Noah S Menlo
- Claudia Louise Menton
- Aurora Meraja
- Robin Mercer
- Mercy Hospice Care, Inc.
- Andrew McKenna Meredith
- Taylor Merimee
- Patricia Merlini
- Briana Sheree Merrill
All providers in Livonia, MI · Nephrology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.