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

Kelly Elizabeth Eggiman

Individual provider Physician Assistant · NPI 1811232879

Kelly Elizabeth Eggiman is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2012, 14 years ago. Practices with St Vincent Physician Services Hospital and Health Care Center, a 282-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2012
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Practice location Address checks out

100 Michigan St NE Ste A721
Grand Rapids, MI 49503-2560
Phone: (616) 391-3139
Fax: (616) 391-3044
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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 5601006558 (MI)

Record details

NPI number1811232879
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2012
Last updated in NPPESDecember 3, 2012

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 St Vincent Physician Services Hospital And Health Care Center — 282 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Rapids