Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013438530 Individual Practitioner Female Practitioner

Keely Marie Blosh , NP

Nurse Practitioner • Petoskey, MI

Professional Overview & Biography Verified Profile Summary

Keely Blosh, NP is a registered healthcare professional specializing in Nurse Practitioner in Petoskey, MI. Practice services are available at 416 CONNABLE AVE under active NPI credentials.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

416 Connable Ave

Petoskey, MI 497702212

Telephone 2314874000
Fax 2315473424
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Petoskey, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.6 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Petoskey, MI (3626 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
14 14 $463.00 $107.12

Medical Specialties & State Licenses

CMS Verified: 2021-06-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704310535

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License MI 4704310535

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Lynda Bartosh , RTRM, RPA

Radiology Practitioner Assistant

NPI 1033434261
NPI 1063495927

Doctor of Medicine (M.D.)

Dr. Michael Angileri , MD

Radiology - Diagnostic Radiology

NPI 1073512687

Doctor of Medicine (M.D.)

Dr. William Henry , MD

Radiology - Diagnostic Radiology

NPI 1205835824

Doctor of Medicine (M.D.)

Dr. Khalil Attie , MD

Emergency Medicine

NPI 1235185901

Doctor of Medicine (M.D.)

NPI 1376588897

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 18, 2021

Registered at 416 CONNABLE AVE, PETOSKEY, MI 497702212 (Tel: 2314874000)

📍
Updated Business Mailing Address June 18, 2021

Registered at 416 CONNABLE AVE, PETOSKEY, MI 497702212 (Tel: 2314874000)

NPI Profile Active August 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2017

Registered at 1500 E MEDICAL CENTER DR # 4321, 3RD FLOOR CARDIOVASCULAR CENTER RECP C, ANN ARBOR, MI 481095864 (Tel: 8882871082)

📍
Updated Business Mailing Address August 03, 2017

Registered at 3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: (734) 936-2047)

👤
Provider Name / Credentials Updated August 03, 2017

Recorded as KEELY BLOSH, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2017

Nurse Practitioner (License #4704310535 in MI)

NPI Profile Active July 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2017

Registered at 1500 E MEDICAL CENTER DR # 4321, ANN ARBOR, MI 481095000 (Tel: (734) 232-4566)

📍
Updated Business Mailing Address July 06, 2017

Registered at 1500 E MEDICAL CENTER DR # 4321, ANN ARBOR, MI 481095000 (Tel: 7342324566)

👤
Provider Name / Credentials Updated July 06, 2017

Recorded as KEELY BLOSH, AGACNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2017

Nurse Practitioner (License #4704310535 in MI)

🟢
Initial NPI Registration & Enumeration July 06, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013438530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2017
Last Update: June 18, 2021
Sole Proprietor: No

Mailing Address

416 Connable Ave

Petoskey, MI 497702212

Phone: 2314874000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.