Individual provider Active NPI

Kylene Willsey, M.D.

  • Pediatrics Physician
  • Dexter, MI
National Provider Identifier
1336553239
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301105815 Issued in MI
Practice address
7444 Dexter Ann Arbor Rd Ste a
Dexter, MI 48130-1468
Phone
(734) 408-4182
Fax
(734) 253-2565
NPI assigned
Jun 18, 2014
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301105815 MI Primary

Addresses

Primary practice location

7444 Dexter Ann Arbor Rd Ste a
Dexter, MI 48130-1468

Mailing address

7444 Dexter Ann Arbor Rd Ste a
Dexter, MI 48130-1468
Phone (734) 408-4182

Other names 1

  • Kylene Wood Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kylene.willsey.1@7929.direct.athenahealth.com Direct Turke and Thomashow Pediatrics PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115002566 TX Practitioner - Pediatric Medicine 4789990607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301105815MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children's Medical Group CurrentSince Oct 1, 2023 Accepting new patients
Turke and Thomashow Pediatrics PC Pediatrics CurrentSince Nov 9, 2025 Accepting new patients
Dell Children's Medical Group Pediatrics CurrentSince Oct 1, 2023 Accepting new patients
Pediatric Care of Chelsea, PC Pediatrics Past Accepting new patients

Locations

7444 Dexter Ann Arbor Rd
Ste A
Dexter, MI 48130
Phone (734) 408-4182

4910 Mueller Blvd
Ste 300
Austin, TX 78723
Phone (512) 324-0907

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

Interoperability endpoints

  • Direct secure messaging: kylene.willsey.1@7929.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3566/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kylene.willsey.1@33161.direct.athenahealth.com
  • Direct secure messaging: kwillsey503506@direct.hfhs.org
  • Direct secure messaging: kylene.willsey.1@8363.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7929/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1336553239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 DEXTER ANN ARBOR RD STE A",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301468",
            "telephone_number": "734-408-4182",
            "fax_number": "734-253-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7444 DEXTER ANN ARBOR RD STE A",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301468",
            "telephone_number": "734-408-4182",
            "fax_number": "734-253-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSEY",
        "first_name": "KYLENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301105815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kylene.willsey.1@7929.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Athena EMR provider direct messaging email",
            "affiliationName": "Turke and Thomashow Pediatrics PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Athena EMR provider direct messaging email",
            "address_1": "7444 Dexter Ann Arbor Rd Ste A",
            "city": "Dexter",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481301468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KYLENE",
            "last_name": "WOOD",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dexter, MI

Sources for this page

Verify at the official NPI Registry.