Jessica A Kiley, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301088707 Issued in MI

Practice address

1035 Charlevoix Dr Ste 200
Grand Ledge, MI 48837-2223

Phone

(517) 626-3100

Fax

(517) 626-3110

NPI assigned

Oct 10, 2006

Last updated

Apr 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLaren Greater LansingGroup PAC ID 7214833466, shared by 4 NPIs, 96 clinicians

McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• McLaren Medical Group

  • Family Medicine Physician
  • Lapeer, MI
  • NPI 1346396066
  Medicare reassignment Care Compare group NPD
• McLaren Greater Lansing

  • Gynecologic Oncology Physician
  • Lansing, MI
  • NPI 1265600902
  Medicare reassignment NPD
• McLaren Greater Lansing

  • Family Medicine Physician
  • Okemos, MI
  • NPI 1972878452
  Medicare reassignment NPD
• McLaren Greater Lansing

  • Obstetrics & Gynecology Physician
  • Lansing, MI
  • NPI 1174660013
  NPD
• McLaren Greater Lansing

  • Family Medicine Physician
  • Lansing, MI
  • NPI 1962808162
  NPD
• McLaren Medical Group

  • Diagnostic Radiology Physician
  • Lapeer, MI
  • NPI 1073650750
  NPD
• McLaren Central Michigan

  • Rural Health Clinic/Center
  • Gladwin, MI
  • NPI 1841812989
  NPD (past)
• McLaren Greater Lansing

  • Hematology & Oncology Physician
  • Lansing, MI
  • NPI 1033444351
  NPD (past)
• McLaren Greater Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1134104672
  NPD (past)
• McLaren Medical Group

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1780652206

  Family Medicine

  NPD (past)

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

• McLaren Greater Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1134104672
  Care Compare affiliation

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1770670788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 CHARLEVOIX DR STE 200",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372223",
            "telephone_number": "517-626-3100",
            "fax_number": "517-626-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 CHARLEVOIX DR STE 200",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488372223",
            "telephone_number": "517-626-3100",
            "fax_number": "517-626-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILEY",
        "first_name": "JESSICA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301088707",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301088707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "OF96004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301088707",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.kiley@omhmedicalgroup.directbygreenway.com",
            "affiliation": "N",
            "address_1": "829 N Center Ave",
            "address_2": "Suite 200",
            "city": "Gaylord",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497351595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Jones
• Christine Jones, OT
• Sirisha Kamarajugadda
• Kathleen Kenny, D.C.
• Kristen Renee Kenroy, PT
• Hannah Klepal
• Rachel Laborde, NTP,NRT,MBCE
• Lake Chiropractic Center, PLLC
• Chad Lake, D.C.
• William Wayne Landess, C.R.N.A.

• Obstetrics & Gynecology Physician in Grand Ledge, MI
• Providers in Grand Ledge, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.