Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Ann Rice, NPMSN

Individual provider Nurse Practitioner · NPI 1104864222

Kelly Ann Rice, NPMSN is a Nurse Practitioner in Detroit, Michigan. Qualified in 2004, 22 years ago. Practices with DO Gardi MD PC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

4160 John R St Ste 724
Detroit, MI 48201
Phone: (313) 993-7777
Fax: (313) 993-2563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704220636 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704220636 (MI)

Record details

NPI number1104864222
Entity typeIndividual (Type 1)
GenderFemale
Credentials NPMSN
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESAugust 3, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Do Gardi Md Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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