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

Kelsi Mici, PA

Individual provider Physician Assistant · NPI 1982317566

Kelsi Mici, PA is a Physician Assistant in Toledo, Ohio. Graduated from University of Toledo College of Medicine in 2023, 3 years ago. Practices with Promedica Northwest Ohio Cardiology Consultants LLC, a 82-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
3
Trained at
University of Toledo College of Medicine
Licensed in
MI, OH
In the registry since
2022
Specialties on file
2
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

2940 N McCord Rd
Toledo, OH 43615-1753
Phone: (419) 842-3000
Fax: (419) 842-3047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5640 N Adrian Hwy # A, Adrian, MI 49221-8318 — (517) 577-0525

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.008648RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 5601012306 (MI)

Record details

NPI number1982317566
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 28, 2022
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Promedica Northwest Ohio Cardiology Consultants Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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