Kelley Beth McGillivray, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704300074 Issued in MI

Practice address

24353 Orchard Lake Rd Ste D
Farmington Hills, MI 48336-1917

Phone

(248) 200-3715

NPI assigned

Jul 1, 2019

Sex

Female

Sole proprietor

No

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ali M Alsaadi MD PCGroup PAC ID 0941205785, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpace1143649@direct.hfhs.org
• FHIR API: https://api.platform.athenahealth.com/22658/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/14284/brand/1/csg/1/fhir/r4
• Direct secure messaging: kelley.pace.1@22658.direct.athenahealth.com

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.

• Ali M Alsaadi MD PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1578678819
  Medicare reassignment Care Compare group NPD

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

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1184286072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD STE 105",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341799",
            "telephone_number": "248-200-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24353 ORCHARD LAKE RD STE D",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361917",
            "telephone_number": "248-200-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLIVRAY",
        "first_name": "KELLEY",
        "middle_name": "BETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704300074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallys McGill
• Madison McGill
• Summer McGill
• Ellen Frances McGillis/Burton I, R.N.
• Colin McGillivray
• Mary McGinn
• Jillian McGinnis
• Morgan Blair McGinnis
• Ciara McGinty
• Maronda McGinty

• Family Nurse Practitioner in Farmington Hills, MI
• Providers in Farmington Hills, 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 Jul 10, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.