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

Mrs. Mary Ann Dennis, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1417423369

Mrs. Mary Ann Dennis, AGACNP-BC is a Nurse Practitioner in Kalamazoo, Michigan. Qualified in 2018, 8 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Texas.

Years since qualifying
8
Licensed in
MI, TX
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone: (629) 226-7000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Michigan St Ne, Grand Rapids, MI 49503-2560 — (866) 959-7999
  • 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 — (616) 774-7444

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704279511 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence AP140290 (TX)

Record details

NPI number1417423369
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 18, 2018
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Kalamazoo