NPIMap

Individual provider Active NPI

Kelli Christie, PA-C

  • Physician Assistant
  • Bay City, MI
National Provider Identifier
1316403504
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4 Columbus Ave Ste 140
Bay City, MI 48708-6469
Phone
(989) 393-2850
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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 Primary

Addresses

Primary practice location

4 Columbus Ave Ste 140
Bay City, MI 48708-6469

Mailing address

2798 W North Union Rd Apt 73
Midland, MI 48642-9294
Phone (616) 745-7018

Other practice location 1

1280 E Campus Dr
Mount Pleasant, MI 48858-3803
Phone (616) 745-7018

Other names 1

  • Ms. Kelli Brunette Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191213001156 MI Practitioner - Physician Assistant 1153754684 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rau Physical Therapy IncGroup PAC ID 2365721339, 98 clinicians
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

193 E Jefferson St
Frankenmuth, MI 48734-1935

3051 Kiesel Rd
Bay City, MI 48706-2449
Phone (989) 778-2890

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018

4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena CurrentSince Jul 11, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jul 11, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jul 11, 2025 Accepting new patients
McLaren Caro Region CurrentSince Oct 19, 2020 Accepting new patients
Mymichigan Medical Group CurrentSince Jul 11, 2025 Accepting new patients

Locations

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

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

345 N State St
Caro, MI 48723
Phone (989) 672-5151

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

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

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

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

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1316403504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2798 W NORTH UNION RD APT 73",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486429294",
            "telephone_number": "616-745-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COLUMBUS AVE STE 140",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086469",
            "telephone_number": "989-393-2850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 E Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488583803",
            "country_code": "US",
            "telephone_number": "616-745-7018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "KELLI",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "BRUNETTE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.