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

Kelsey Boudjalis

Individual provider Advanced Practice Midwife · NPI 1639911597

Kelsey Boudjalis is a Certified Nurse Midwife (CNM) in Ann Arbor, Michigan. Graduated from University of Michigan Medical School in 2025, 1 year ago. Registered with an NPI since 2024.

Years since qualifying
1
Trained at
University of Michigan Medical School
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4200 Whitehall Dr Ste 350
Ann Arbor, MI 48105-9694
Phone: (734) 572-9600
Fax: (734) 572-9600
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X

Record details

NPI number1639911597
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2024
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address24 Frank Lloyd Wright Dr Ste J2000, Ann Arbor, MI 48105-9484

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Ann Arbor