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NPI · 1053793208 · NPPES-sourced

Mick Kelly MD

ActiveOrthopaedic Surgery
NPI Number
1053793208
Type 1 · Individual
Taxonomy Code
207X00000X
Contact
(262) 303-5055
License WI · 75716
Last Updated
Enumerated
Primary practice addressWI · 53072-4800
N15w28300 Golf RdPewaukee, WI 53072-4800
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About this NPIWhat this record shows.

NPI 1053793208 is registered to Mick Kelly MD, a Orthopaedic Surgery practising at N15w28300 Golf Rd in Pewaukee, Wisconsin. Orthopaedic Surgery is a medical specialty focused on injuries and disorders of the musculoskeletal system, including bones, joints, ligaments, tendons, and muscles. Mick Kelly MD has been enumerated in the National Provider Identifier (NPI) registry since 2015.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mick Kelly MD accepts. To confirm in-network status with your specific health plan, contact Mick Kelly MD directly at (262) 303-5055.

Frequently asked

Yes. NPI 1053793208 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Orthopaedic Surgery is a medical specialty focused on injuries and disorders of the musculoskeletal system, including bones, joints, ligaments, tendons, and muscles.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (262) 303-5055.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mick Kelly MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207X00000X
Last updated
Enumerated
StatusActive
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6 records · same addressOther providers at this location.

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Same specialtyOther Orthopaedic Surgery providers in Wisconsin.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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