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

Kelly J Pasch, FNP

Individual provider Family Nurse Practitioner · NPI 1245782804

Kelly J Pasch, FNP is a Nurse Practitioner in Portage, Michigan. Qualified in 2016, 10 years ago. Practices with Ascension Medical Group Promed, a 255-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2700 E Centre Ave
Portage, MI 49002
Phone: (269) 286-7050
Fax: (269) 286-7051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6626 Rothbury St, Portage, MI 49024-3145 — (269) 251-6395

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704266364 (MI)

Record details

NPI number1245782804
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 31, 2016
Last updated in NPPESNovember 27, 2023
Certification dateOctober 12, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ascension Medical Group Promed — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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