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

Individual provider Physician Assistant · NPI 1841858149

Kelsey Bulloch, PA-C is a Physician Assistant in Ypsilanti, Michigan. Qualified in 2019, 7 years ago. Practices with St Joseph Mercy Hospital, a 68-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
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

5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009238 (MI)

Record details

NPI number1841858149
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 31, 2019
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Joseph Mercy Hospital — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ypsilanti