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

Ellyn Reid

Individual provider Adult Health Nurse Practitioner · NPI 1306731203

Ellyn Reid is a Nurse Practitioner in Kalamazoo, Michigan. Qualified in 2018, 8 years ago. Practices with Ascension Medical Group Promed, a 255-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2025

Practice location Address checks out

1717 Shaffer St
Kalamazoo, MI 49048-1647
Phone: (269) 552-0014
Fax: (269) 552-0016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704351071 (MI)

Record details

NPI number1306731203
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ascension Medical Group Promed — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kalamazoo