Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790322576 Individual Practitioner Female Practitioner

Kelley Lynne Ellis , NP

Nurse Practitioner • Ann Arbor, MI

Professional Overview & Biography Verified Profile Summary

Kelley Ellis, NP is a registered healthcare professional specializing in Nurse Practitioner in Ann Arbor, MI. Practice services are available at 1500 E MEDICAL CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 E Medical Center Dr

Ann Arbor, MI 481095000

Telephone 7349364000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ann Arbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
711 Specialists

Practicing in Ann Arbor, MI (3626 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704290179

(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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Sameer Saini , MD

Internal Medicine - Gastroenterology

NPI 1003039124

Doctor of Medicine (M.D.)

Dr. Kyle Perry , MD

Pathology - Cytopathology

NPI 1003053901

Doctor of Medicine (M.D.)

Dr. Michael Watson , MD

Pediatrics - Pediatric Infectious Diseases

NPI 1003092040

Doctor of Medicine (M.D.)

Denise Berry , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003128356

Certified Registered Nurse Anesthetist

Dr. Ketti Petersen , MD

Family Medicine - Hospice and Palliative Medicine

NPI 1003128919

Doctor of Medicine (M.D.)

Katherine Mccormack , PA-C

Physician Assistant

NPI 1003167321

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events
👤
Provider Name / Credentials Updated March 26, 2025

Recorded as KELLEY ELLIS, NP

📍
Updated Practice Location January 11, 2021

Registered at 1500 E MEDICAL CENTER DR, ANN ARBOR, MI 481095000 (Tel: 7349364000)

📍
Updated Business Mailing Address January 11, 2021

Registered at 3621 S STATE ST, ANN ARBOR, MI 481081633 (Tel: 7346475299)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2021

Nurse Practitioner (License #4704290179 in MI)

NPI Profile Active November 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2019

Registered at 225 E CHICAGO AVE # 22, CHICAGO, IL 606112991 (Tel: 3122274922)

📍
Updated Business Mailing Address November 29, 2019

Registered at 1224 SNYDER AVE, ANN ARBOR, MI 481035328 (Tel: 2487628334)

👤
Provider Name / Credentials Updated November 29, 2019

Recorded as KELLEY ELLIS, MSN, APRN, CPNP-AC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2019

Nurse Practitioner (License #209.020528 in IL)

🟢
Initial NPI Registration & Enumeration November 29, 2019

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: 1790322576
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2019
Last Update: March 26, 2025
Sole Proprietor: No

Mailing Address

3621 S State St

Ann Arbor, MI 481081633

Phone: 7346475299

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.