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

Kelly Powell Oliverio, PA-C

Individual provider Physician Assistant · NPI 1417510751

Kelly Powell Oliverio, PA-C is a Physician Assistant in Detroit, Michigan. Graduated from University of South Florida College of Medicine in 2019, 7 years ago. Practices with Complexcare Medical Group Midwest H PLLC, a 127-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Trained at
University of South Florida College of Medicine
Licensed in
MI
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

19100 W 7 Mile Rd
Detroit, MI 48219-2758
Phone: (248) 660-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009515 (MI)

Record details

NPI number1417510751
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Complexcare Medical Group Midwest H Pllc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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