Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelly J Lupo, PA-C

Individual provider Physician Assistant · NPI 1699982298

Mrs. Kelly J Lupo, PA-C is a Physician Assistant in Ann Arbor, Michigan. Qualified in 2000, 26 years ago. Practices with Cape Fear Valley Health Medical Group LLC, a 330-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
26
Licensed in
MI
In the registry since
2007
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

1500 E Medical Center Dr 2nd Fl Taubman Center Recp 'G'
Ann Arbor, MI 48109-5338
Phone: (734) 936-7010
Fax: (734) 936-9294
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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 5601003533 (MI)

Record details

NPI number1699982298
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESJanuary 7, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Cape Fear Valley Health Medical Group Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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