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

Individual provider Physician Assistant · NPI 1538409396

Kellie K Yenrick, PA-C is a Physician Assistant in Toledo, Ohio. Qualified in 2012, 14 years ago. Practices with Promedica Northwest Ohio Cardiology Consultants LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
14
Licensed in
MI, OH
In the registry since
2013
Specialties on file
2
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

2940 N McCord Rd
Toledo, OH 43615-1753
Phone: (419) 842-3000
Fax: (419) 842-3042
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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 50003712 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 5601006693 (MI)

Record details

NPI number1538409396
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 15, 2013
Last updated in NPPESNovember 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Promedica Northwest Ohio Cardiology Consultants Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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