Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anastasia Kanellopoulos, NP

Individual provider Acute Care Nurse Practitioner · NPI 1750781373

Anastasia Kanellopoulos, NP is a Nurse Practitioner in Jackson, Michigan. Qualified in 2014, 12 years ago. Practices with Memorial Clinical Physiology Group, a 12-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

744 W Michigan Ave Ste 300
Jackson, MI 49201-1900
Phone: (517) 768-0600
Fax: (517) 768-0606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704294210 (MI)

Record details

NPI number1750781373
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 2, 2014
Last updated in NPPESSeptember 2, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Memorial Clinical Physiology Group — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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