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

Individual provider Physician Assistant · NPI 1891725495

Kelli Beaudoin, PA is a Physician Assistant in Dearborn, Michigan. Qualified in 2000, 26 years ago. Practices with Eric T Silberg MD PC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
26
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

18100 Oakwood Blvd Ste 300
Dearborn, MI 48124-4085
Phone: (313) 429-7977
Fax: (313) 429-7981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601003485 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5601003485 (MI)

Record details

NPI number1891725495
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESJanuary 5, 2017
Mailing address21031 Michigan Ave, Suite 400-Credentialing, Dearborn, MI 48124-2339

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Eric T Silberg Md Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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