Grace Kelley (NPI# 1487175048, PAC ID# 6608121017) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1487175048 |
| PAC ID by PECOS | 6608121017 |
| Professional Enrollment ID | I20180626000455 |
| Full Name | Grace Kelley |
| Organization Legal Name | PACKARD HEALTH INC |
| Address |
3174 Packard St Ann Arbor MI 48108-1947 |
| Phone Number | 734971107327 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6204876113 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230046 | UNIVERSITY OF MICHIGAN HEALTH SYSTEM |
| 230156 | ST JOSEPH MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3174 Packard St, Ann Arbor, MI 48108-1947 | 734971107327 | PACKARD HEALTH INC |
| 200 Arnet St, Suite 150, Ypsilanti, MI 48198-5753 | 7349857200 | PACKARD HEALTH INC |
| Organization Legal Name | PACKARD HEALTH INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaila A Queen | Family Medicine | Packard Health Inc | 200 Arnet St, Suite 150, Ypsilanti, MI 48198-5753 |
| Ankoor B Soni | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| April Diane Bigelow | Nurse Practitioner | Packard Health Inc | 312 W Huron St, Ann Arbor, MI 48103-4204 |
| Raymond J Rion | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Elizabeth Ann Orlowski | Nurse Practitioner | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Chin Hwa Yi Dahlem | Nurse Practitioner | Packard Health Inc | 312 W Huron St, Ann Arbor, MI 48103-4204 |
| Lindsey V Kotagal | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Holly E Ross | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Ravi A Vadlamudi | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Niyati B Shah | Family Medicine | Packard Health Inc | 200 Arnet St, Suite 150, Ypsilanti, MI 48198-5753 |
| Street Address |
3174 PACKARD ST |
| City | ANN ARBOR |
| State | MI |
| Zip | 48108-1947 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ankoor B Soni | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Raymond J Rion | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Elizabeth Ann Orlowski | Nurse Practitioner | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Lindsey V Kotagal | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Holly E Ross | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Ravi A Vadlamudi | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Ronald Romero | Family Medicine | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Victoria J Nichols | Family Practice | Packard Health Inc | 3174 Packard St, Ann Arbor, MI 48108-1947 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin M Bly | Neurology | Regents of The University of Michigan | 1500 E Medical Ctr Dr 1st Floor Recp C, Taubman Center, Ann Arbor, MI 48108-0999 |
| Eva Lucille Feldman | Neurology | Regents of The University of Michigan | 1500 E Medical Ctr Dr 1st Floor Recp C, Taubman Center, Ann Arbor, MI 48108-0999 |
| Michael M Wang | Neurology | Regents of The University of Michigan | 1500 E Medical Ctr Dr 1st Floor Recp C, Taubman Center, Ann Arbor, MI 48108-0999 |
| Allison Macke Jordan | Neurology | Regents of The University of Michigan | 1500 E Medical Ctr Dr 1st Floor Recp C, Taubman Center, Ann Arbor, MI 48108-0999 |
| Sayyed A Sohrab | Neurology | Regents of The University of Michigan | 1500 E Medical Ctr Dr 1st Floor Recp C, Taubman Center, Ann Arbor, MI 48108-0999 |
| Kevin Anthony Kerber | Neurology | Regents of The University of Michigan | 1500 E Medical Ctr Dr 1st Floor Recp C, Taubman Center, Ann Arbor, MI 48108-0999 |
| Wade M Cooper | Neurology | Regents of The University of Michigan | 1500 E Medical Ctr Dr 1st Floor Recp C, Taubman Center, Ann Arbor, MI 48108-0999 |
| Simon Malcom Glynn | Neurology | Regents of The University of Michigan | 1500 E Medical Ctr Dr 1st Floor Recp C, Taubman Center, Ann Arbor, MI 48108-0999 |
| Sami J Barmada | Neurology | Regents of The University of Michigan | 1500 E Medical Ctr Dr 1st Floor Recp C, Taubman Center, Ann Arbor, MI 48108-0999 |
| Jonathan D Trobe | Ophthalmology | Regents of The University of Michigan | 1500 E Medical Ctr Dr 1st Floor Recp C, Taubman Center, Ann Arbor, MI 48108-0999 |
| Find all physicians in zip 48108 | |||
| City | ANN ARBOR |
| Zip Code | 48108 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ANN ARBOR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Grace Kelley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.