Individual provider Active NPI

Paul Edward McKellip, PA-C

  • Physician Assistant
  • Bay City, MI
National Provider Identifier
1104354166
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3601008197 Issued in MI
Practice address
2980 Wilder Rd Ste B
Bay City, MI 48706-9213
Phone
(989) 509-3333
NPI assigned
Jun 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3601008197 MI Primary

Addresses

Primary practice location

2980 Wilder Rd Ste B
Bay City, MI 48706-9213

Mailing address

1106 Orchard Rd
Essexville, MI 48732-1913
Phone (989) 414-7804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727003079 MI Practitioner - Physician Assistant 6406126127 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Bay RegionGroup PAC ID 5597659011, 110 clinicians

Practice addresses (Care Compare)

1900 Columbus Ave
Bay Regional
Bay City, MI 48708-6831
Phone (989) 894-3278

Hospital & facility affiliations

  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3601008197MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Bay Region Physician Assistant CurrentSince Feb 23, 2025 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Jul 1, 2021 Accepting new patients
McLaren Bay Region CurrentSince Feb 23, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jul 1, 2021 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jul 1, 2021 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Jul 1, 2021 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Jul 1, 2021 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jul 1, 2021 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Jul 1, 2021 Accepting new patients
Mymichigan Medical Center Gladwin Physician Assistant CurrentSince Jul 1, 2021 Accepting new patients
McLaren Bay Region Past Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

3190 E Midland Rd
Bay City, MI 48706
Phone (989) 667-6650

2980 Wilder Rd
Ste B
Bay City, MI 48706
Phone (989) 509-3333

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

5785 E Broadway Rd
Mt Pleasant, MI 48858
Phone (989) 773-9421

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

Interoperability endpoints

  • Direct secure messaging: pmckellip114846@mymichiganhealth.midirect.net

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1104354166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 ORCHARD RD",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487321913",
            "telephone_number": "989-414-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 WILDER RD STE B",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069213",
            "telephone_number": "989-509-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELLIP",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "3601008197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.