Kellie Lea Mumford, PA-C
NPI 1346496759ActiveIndividual· Physician Assistant· Gaylord, MI
Physician Assistant (PA-C) with Orthopaedic Associates of Muskegon PC and 2 other groups, practicing in Gaylord, Michigan. 322 Medicare patients in 2024, $67,568 paid; nearly all of their 163 Part D prescriptions were generic (99%). Lists McLaren Northern Michigan and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1346496759 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 18, 2008 |
| Last updated in NPPES | Dec 23, 2020 |
| Certified by provider | Dec 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601005363 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 322 |
|---|---|
| Services billed | 3,908 across 53 procedure codes |
| Paid by Medicare | $67,568 |
Part D prescriptions in 2024
| Prescriptions (claims) | 163 · 173 30-day fills |
|---|---|
| Patients | 130 |
| Total drug cost | $638.92 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Orthopaedic Associates of Muskegon PCMuskegon, MI · 116 clinicians
- Northsport Physical Therapy and Rehabilitation P CGaylord, MI · 39 clinicians
- Great Lakes Orthopaedic Center PCCadillac, MI · 36 clinicians
Hospital affiliations
- McLaren Northern MichiganPetoskey, MI
- Munson Healthcare Grayling HospitalGrayling, MI
- Munson Healthcare Otsego Memorial HospitalGaylord, MI
- Mymichigan Medical Center AlpenaAlpena, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 physician assistants in Gaylord · All physician assistants in Michigan