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

Individual provider Physician Assistant · NPI 1821875006

Gabrielle Kanan, PA-C is a Physician Assistant in Grosse Pointe, Michigan. Qualified in 2023, 3 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone: (313) 473-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25631 Little Mack Ave Ste 205, Saint Clair Shores, MI 48081-2108 — (586) 443-2930

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011873 (MI)

Record details

NPI number1821875006
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2023
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Grosse Pointe