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

Kelly Stasa, CNP

Individual provider Family Nurse Practitioner · NPI 1912378134

Kelly Stasa, CNP is a Nurse Practitioner in Blissfield, Michigan. Graduated from University of Toledo College of Medicine in 2015, 11 years ago. Practices with Promedica Central Corporation of Michigan, a 112-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Ohio.

Years since qualifying
11
Trained at
University of Toledo College of Medicine
Licensed in
MI, OH
In the registry since
2015
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

157 W Brooke Ln
Blissfield, MI 49228-8601
Phone: (517) 486-2411
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704279024 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence COA.17942-NP (OH)

Record details

NPI number1912378134
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 14, 2015
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Promedica Central Corporation Of Michigan — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Blissfield