Individual provider Active NPI

Kelsey Christine Jarvis, NP

  • Family Nurse Practitioner
  • University Center, MI
National Provider Identifier
1285508960
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704338480 Issued in MI
Practice address
7400 Bay Road
University Center, MI 48710-0001
Phone
(989) 964-4000
NPI assigned
Oct 3, 2025
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704338480 MI Primary

Addresses

Primary practice location

7400 Bay Road
University Center, MI 48710-0001

Mailing address

2028 Five Lakes Rd
Metamora, MI 48455-9355
Phone (810) 338-6107

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
I20260313000681 MI Practitioner - Nurse Practitioner 2567945926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2028 Five Lakes Rd
Metamora, MI 48455-9355

2770 Main St
Marlette, MI 48453-1195

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704338480MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hills & Dales General Hospital, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Hills & Dales General Hospital, Inc. Past Accepting new patients

Locations

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

650 W Sanilac Rd
Sandusky, MI 48471
Phone (989) 912-6725

Interoperability endpoints

  • Direct secure messaging: kjarvis176422@direct.covenanthealthcare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1285508960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 FIVE LAKES RD",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484559355",
            "telephone_number": "810-338-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BAY ROAD",
            "city": "UNIVERSITY CENTER",
            "state": "MI",
            "postal_code": "487100001",
            "telephone_number": "989-964-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "KELSEY",
        "middle_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704338480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Center, MI

Sources for this page

Verify at the official NPI Registry.