Kelsey Grace, MD
Individual provider Active NPI Emergency Medicine Physician · Ypsilanti, MI
NPI 1821595091 · NPPES record last updated Mar 20, 2023
Key facts
- NPI
- 1821595091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 4301507122 (MI)
- Practice address
- 5301 McAuley Dr
Ypsilanti, MI 48197-1051 - Phone
- (734) 712-3000
- NPI assigned
- Apr 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Human Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Epmg of Michigan PC
Practice addresses (Care Compare)
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (954) 939-5000
775 S Main St
Chelsea, MI 48118-1383
Phone (954) 939-5000
Hospital & facility affiliations
- Chelsea Hospital
- Trinity Health Ann Arbor Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220810002475 | MI | Practitioner - Emergency Medicine | 1153677547 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301507122 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epmg of Michigan, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Chelsea Community Hospital | Current | Accepting new patients | |
| Hospitalist Physicians Medical Group of Michigan, PC | Emergency Medicine | Current |
Accepting new patients |
| Hospitalist Physicians Medical Group of Michigan, PC | Emergency Medicine | Current |
Accepting new patients |
| Chelsea Community Hospital | Current |
Accepting new patients |
Locations
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
Interoperability endpoints
- kgrace43435@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301507122 | MI | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | MI |
Addresses
Primary practice location
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Mailing address
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3000
Other providers in Ypsilanti, MI
- Quinn James Gormley-Veasley
- Jennifer Ann Gossett
- Sunaina Gowda Ramesh Babu
- Markeeta Lorraine Graban
- Grace Home Health Care Inc.
- Kaitlin Graf
- Andrea Graff
- Ian A Grager
- Jenee Graham
- Jenna Graham
All providers in Ypsilanti, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.