Kelli Ann Pagel, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005021 Issued in MI

Practice address

23660 Eureka Rd
Taylor, MI 48180-5275

Phone

(734) 250-9630

Fax

(734) 250-9631

NPI assigned

May 17, 2007

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

Other identifiers 1

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

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kpagel940723@direct.hfhs.org

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.

• Henry Ford Urgent Care

  dba Henry Ford GoHealth Urgent Care

  • Urgent Care Clinic/Center
  • Detroit, MI
  • NPI 1184389876
  Medicare reassignment Care Compare group
• Capital Internal Medicine Associates P.C.

  • Internal Medicine Physician
  • Lansing, MI
  • NPI 1780629832
  Medicare reassignment
• Digestive Disease Center of Mid-Michigan

  • Specialist
  • Lansing, MI
  • NPI 1356526602
  NPD (past)
• Lansing Urgent Care, PLC

  • Urgent Care Clinic/Center
  • Lansing, MI
  • NPI 1780987990
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1386851228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23660 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805275",
            "telephone_number": "734-250-9630",
            "fax_number": "734-250-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23660 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805275",
            "telephone_number": "734-250-9630",
            "fax_number": "734-250-9631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4221 Charlar Dr",
            "address_purpose": "LOCATION",
            "city": "Holt",
            "state": "MI",
            "postal_code": "488426804",
            "country_code": "US",
            "telephone_number": "517-694-7600",
            "fax_number": "517-694-7003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3955 Patient Care Dr",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489114299",
            "country_code": "US",
            "telephone_number": "517-374-7600",
            "fax_number": "855-495-5457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGEL",
        "first_name": "KELLI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5601005021",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Osstifin-Czerniejewski, PAC
• Paul J. Ovares, D.C.
• Jamie Lee Ann Owens, LCSW
• P-Cor, LLC (Henry Ford Optimeyes)
• Joel Talamonu Paea
• Angela Nicolena Palazzolo
• Patricia Ann Palmer, LPC
• Stefan Nicholas Papandreou, DO
• Par Wick Pharmacy LLC
• Paramount Performance (Hatch Doula Service) (Hatch Doula Service)

• Physician Assistant in Taylor, MI
• Providers in Taylor, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.