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

Kristin Pacholke

Individual provider Physician Assistant · NPI 1427647957

Kristin Pacholke is a Physician Assistant in Detroit, Michigan. Qualified in 2021, 5 years ago. Practices with St Joseph Mercy Hospital, a 68-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

259 Mack Ave
Detroit, MI 48201-2427
Phone: (313) 577-1716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15010 Bishop St, Oak Park, MI 48237-1984 — (248) 345-6504
  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-1994

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010550 (MI)

Record details

NPI number1427647957
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 11, 2021
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 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 Detroit