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

Kellie Jasmine Blank, PA-C

Individual provider Physician Assistant · NPI 1659989630

Kellie Jasmine Blank, PA-C is a Physician Assistant in Wyandotte, Michigan. Graduated from Pennsylvania State University College of Medicine in 2020, 6 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Trained at
Pennsylvania State University College of Medicine
Licensed in
MI
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone: (734) 246-6000
Show map & directions

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

Additional practice locations (1)

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 — (734) 936-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011698 (MI)

Record details

NPI number1659989630
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 16, 2020
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Wyandotte