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

Kelsi Hendrickson, PA

Individual provider Physician Assistant · NPI 1023614823

Kelsi Hendrickson, PA is a Physician Assistant in Grand Haven, Michigan. Graduated from Central Michigan College of Medicine in 2021, 5 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Trained at
Central Michigan College of Medicine
Licensed in
MI
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

15100 Whittaker Way
Grand Haven, MI 49417-8696
Phone: (616) 935-6210
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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 5601010747 (MI)

Record details

NPI number1023614823
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 7, 2020
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCENTRAL MICHIGAN COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

Other providers in Grand Haven