Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Pierce Bautel, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1598428856

Kevin Pierce Bautel, PMHNP-BC is a Nurse Practitioner in Clinton Township, Michigan. Graduated from Wayne State University School of Medicine in 2021, 5 years ago. Practices with St Clair County Community Mental Health Authority, a 53-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

42669 Garfield Rd # 326
Clinton Township, MI 48038-1653
Phone: (586) 412-5321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704277557 (MI)

Record details

NPI number1598428856
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 14, 2021
Last updated in NPPESMarch 26, 2023
Certification dateMarch 26, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice St Clair County Community Mental Health Authority — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clinton Township