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

Kelly Backers

Individual provider Physician Assistant · NPI 1205204385

Kelly Backers is a Physician Assistant in Waterford, Michigan. Qualified in 2015, 11 years ago. Practices with Michigan Internal Medicine Associates, PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
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Practice location Address checks out

1012 W Huron St
Waterford, MI 48328-3730
Phone: (248) 681-1880
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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 5601007474 (MI)

Record details

NPI number1205204385
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 8, 2015
Last updated in NPPESMarch 31, 2017
Mailing address1012 W Huron St, Waterford, MI 48328-3730

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Michigan Internal Medicine Associates,P.C. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Waterford