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

Individual provider Physician Assistant · NPI 1528317153

Kelly Marie Poletis, PA-C is a Physician Assistant in Clinton Twp, Michigan. Qualified in 2012, 14 years ago. Practices with Henry Ford Macomb Hospital Corporation, a 339-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
14
Licensed in
IL, MI
In the registry since
2012
Specialties on file
3
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

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone: (586) 263-2113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1725 W Harrison St, Chicago, IL 60612-3841 — (312) 772-2273

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007695 (MI)
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085004402 (IL)

Record details

NPI number1528317153
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 29, 2012
Last updated in NPPESSeptember 4, 2018

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 Henry Ford Macomb Hospital Corporation — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clinton Twp