Individual provider Active NPI

Kelli Lynn Isralson-Brown, N.P.

  • Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1235418138
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704206068 Issued in MI
Practice address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone
(734) 936-4000
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704206068 MI
Nurse Practitioner 363L00000X 4704206068 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Mailing address

13872 Mead Creek Rd
Bath, MI 48808-8705

Other practice location 1

5303 S Cedar St
Lansing, MI 48911-3800
Phone (517) 676-8359

Other identifiers 1

IdentifierTypeStateIssuer
1235418138MedicaidMI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110923000540 MI Practitioner - Nurse Practitioner 7618148537 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, shared by 20 NPIs, 698 clinicians

Practice addresses (Care Compare)

1200 E Michigan Ave
Suite 500
Lansing, MI 48912-1899
Phone (517) 364-5123

2601 Coolidge Rd
Suite B
East Lansing, MI 48823-6361
Phone (517) 253-4050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704206068MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan CurrentSince Sep 26, 2023 Accepting new patients
Regents of the University of Michigan Nurse Practitioner CurrentSince Sep 26, 2023 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 7, 2019 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Feb 3, 2025 Accepting new patients
Edward W Sparrow Hospital Association Adult Health CurrentSince Apr 26, 2015 Accepting new patients
Sparrow Clinton Hospital Current Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association Nurse Practitioner CurrentSince Apr 26, 2015 Accepting new patients
Sparrow Clinton Hospital Current Accepting new patients
Sparrow Clinton Hospital CurrentSince Mar 1, 2016 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince May 1, 2025 Accepting new patients
Sparrow Clinton Hospital CurrentSince Apr 7, 2021 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Osh-Mi Physicians Group PC CurrentSince Feb 3, 2025 Accepting new patients
Sparrow Carson Hospital CurrentSince Sep 1, 2022 Accepting new patients
Sparrow Carson Hospital Past Accepting new patients
Osh-Mi Physicians Group PC Adult Health Past Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations (25 of 28)

8175 Reliable Pkwy
Chicago, IL 60686

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

11260 E Jefferson Ave
Detroit, MI 48214
Phone (313) 306-5494

13191 Schavey Rd
Ste 3
Dewitt, MI 48820
Phone (517) 669-9109

2601 Coolidge Rd
Ste B
East Lansing, MI 48823
Phone (517) 253-4050

102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033

2040 Aurelius Rd
Ste 22
Holt, MI 48842
Phone (517) 244-8932

114 N Main St
Ithaca, MI 48847
Phone (989) 875-4166

1200 E Michigan Ave
Ste 500
Lansing, MI 48912
Phone (517) 364-5123

3022 S Martin Luther King Jr Blvd
Lansing, MI 48910
Phone (517) 253-1304

2909 E Grand River Ave
Ste 302
Lansing, MI 48912
Phone (517) 337-8680

1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180

1200 E Michigan Ave
Ste 700
Lansing, MI 48912
Phone (517) 364-5888

7335 Westshire Dr
Ste 100
Lansing, MI 48917
Phone (517) 622-2788

1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160

2909 E Grand River Ave
Ste 202
Lansing, MI 48912
Phone (517) 364-8686

1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710

230 Temple St
Mason, MI 48854
Phone (517) 676-4545

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

2446 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 253-5530

1600 W Grand River Ave
Ste 4
Okemos, MI 48864
Phone (517) 381-6880

805 S Oakland St
#3
Saint Johns, MI 48879
Phone (989) 227-3345

901 S Oakland St
Saint Johns, MI 48879
Phone (517) 227-2338

Organizations & group practices 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1235418138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13872 MEAD CREEK RD",
            "city": "BATH",
            "state": "MI",
            "postal_code": "488088705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000",
            "telephone_number": "734-936-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5303 S Cedar St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489113800",
            "country_code": "US",
            "telephone_number": "517-676-8359",
            "fax_number": "517-676-8298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISRALSON-BROWN",
        "first_name": "KELLI",
        "middle_name": "LYNN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704206068",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704206068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235418138",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.