KELLY ANN POWLISHEN PA-C
NPI 1992484422
Physician Assistant in Detroit, MI
NPI Status: Active since July 12, 2023
Contact Information
311 MACK AVE FL 5
DETROIT, MI
ZIP 48201
Phone: (313) 832-0500
Fax: (313) 745-1316
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About KELLY POWLISHEN
This page provides the complete NPI Profile along with additional information for Kelly Powlishen, a primary care provider established in Detroit, Michigan with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1992484422 assigned on July 2023. The practitioner's primary taxonomy code is 363A00000X with license number 5601011765 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1992484422
- Provider Name
- KELLY ANN POWLISHEN PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 311 MACK AVE FL 5 DETROIT, MI 48201
- Location Phone
- (313) 832-0500
- Location Fax
- (313) 745-1316
- Mailing Address
- 311 MACK AVE FL 5 DETROIT, MI 48201
- Mailing Phone
- (313) 832-0500
- Mailing Fax
- (313) 745-1316
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-12-2023
- Last Update Date
- 12-23-2024
- Code Navigator
A primary care provider (PCP) like Kelly Powlishen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5601011765
- License State
- MI
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 2 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 5601011765 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Local HMO Bronze Extra - HMO
- Blue Cross� Local HMO Bronze Secure - HMO
- Blue Cross� Local HMO Silver Extra - HMO
- Blue Cross� Local HMO Silver Saver - HMO
- Blue Cross� Metro Detroit HMO Bronze Extra - HMO
- Blue Cross� Metro Detroit HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kelly Powlishen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48201 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.76
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.69
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.38
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $18.09
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 9 | 2 | 4 | 8 | 4 | 4 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 8 | 8 | 8 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 8 + 8 + 8 + 4 + 4 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1992484422 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679777353 | DR. BRYANT WILL OLIPHANT M.D. Individual | Orthopaedic Surgery (Orthopaedic Trauma) | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 832-0500 |
| 1104019280 | DR. ANIL SETHI Individual | Orthopaedic Surgery (Orthopaedic Trauma) | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 832-0500 |
| 1932549797 | DR. DEVONE MANSOUR D.O. Individual | Orthopaedic Surgery | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 832-0500 |
| 1962927343 | MR. WILLIAM JOSEPH ROBERTS Individual | Physician Assistant | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 382-0500 |
| 1255379988 | ROBERT MEEHAN MD Individual | Orthopaedic Surgery | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 832-0500 |
| 1336531730 | RYAN BRAY Individual | Orthopaedic Surgery (Orthopaedic Trauma) | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 832-0500 |
| 1629367982 | ANDREW GUAN-HAO TSAI M.D. Individual | Surgery (Surgery of the Hand) | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 832-0500 |
| 1336343540 | DIMPAL RASHMIKANT PATEL PA-C Individual | Physician Assistant | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 832-0500 |
| 1952477325 | SHLOMO S. MANDEL M.D. Individual | Internal Medicine | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 916-2436 |
| 1700380862 | SASHA STINE MD Individual | Orthopaedic Surgery (Orthopaedic Trauma) | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 832-0500 |
| 1396400461 | REILLY MORGAN CARR PA Individual | Physician Assistant | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 832-0500 |
| 1588418453 | ALEXA JAUME MD Individual | Student in an Organized Health Care Education/Training Program | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 832-0500 |
| 1750944617 | JONATHAN DANIEL JOINER DO Individual | Orthopaedic Surgery (Orthopaedic Trauma) | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 832-0500 |
| 1699250001 | ROBYN RENEE FRYC Individual | Physician Assistant | 311 MACK AVE FL 5 DETROIT, MI 48201 (313) 832-0500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992484422, enumerated in the NPI registry as an "individual" on July 12, 2023
The provider is located at 311 Mack Ave Fl 5 Detroit, Mi 48201 and the phone number is (313) 832-0500
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.76 with an average copayment of $22.69 for new patient appointments. Established patients should expect a typical charge of $72.38 and an average copayment of 18.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 12, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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