NPI

Kelly Ellis

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
Nurse Practitioner
Type
Individual
Enumeration date
2020-07-01
Last updated
2021-09-21

Specialties

Licenses

License MI
4704295494NSA200E5

Location

Practice location
1000 Houghton Ave
City
Saginaw MI
Postal code
48602-5303
Phone
(989) 746-7869

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Saginaw, MI. 7,369 records in the public file.

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