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

Kelly Marie Mathison

Individual provider Registered Nurse · NPI 1073881629

Kelly Marie Mathison is a Certified Registered Nurse Anesthetist (CRNA) in Clare, Michigan. Qualified in 2011, 15 years ago. Practices with Mymichigan Medical Center Midland, a 509-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
Specialties on file
2

Practice location Address checks out

703 N McEwan St
Clare, MI 48617-1440
Phone: (898) 802-5000
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704254007 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704254007 (MI)

Record details

NPI number1073881629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2011
Last updated in NPPESSeptember 4, 2013
Mailing address703 N McEwan St, Clare, MI 48617-1440

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Mymichigan Medical Center Midland — 509 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Clare