Individual provider Active NPI

Kelly Noel Becker, NP

  • Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1629355813
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704229883 Issued in MI
Practice address
555 W Crosstown Pkwy Ste 200
Kalamazoo, MI 49008-1982
Phone
(269) 585-0200
Fax
(269) 337-6108
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704229883 MI
Nurse Practitioner 363L00000X 4704229883 MI Primary

Addresses

Primary practice location

555 W Crosstown Pkwy Ste 200
Kalamazoo, MI 49008-1982

Mailing address

555 W Crosstown Pkwy Ste 200
Kalamazoo, MI 49008-1982
Phone (269) 585-0200

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
I20120404000335 MI Practitioner - Nurse Practitioner 3375703002 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Michigan University School of MedicineGroup PAC ID 7517113954, 76 clinicians

Practice addresses (Care Compare)

555 W Crosstown Pkwy
200 Wmed Health
Kalamazoo, MI 49008-1999
Phone (269) 337-6500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 30, 2024 Accepting new patients
Ascension Medical Group Promed CurrentSince Apr 23, 2013 Accepting new patients
Ascension Borgess Hospital CurrentSince Jun 1, 2014 Accepting new patients
Ascension Borgess Hospital Nurse Practitioner CurrentSince Jun 1, 2014 Accepting new patients
Beaver Island Rural Health Center CurrentSince Aug 31, 2020 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Promed Healthcare CurrentSince Apr 23, 2013 Accepting new patients
Western Michigan University School of Medicine CurrentSince May 1, 2025 Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies Past Accepting new patients

Locations

37304 Kings Hwy
Beaver Island, MI 49782
Phone (231) 448-2275

1535 Gull Rd
Ste 130
Kalamazoo, MI 49048
Phone (269) 345-1161

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

555 W Crosstown Pkwy
Ste 200
Kalamazoo, MI 49008
Phone (269) 337-6500

1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347

1717 Shaffer St
Ste 124
Kalamazoo, MI 49048
Phone (269) 226-5456

555 W Crosstown Pkwy
Kalamazoo, MI 49008
Phone (269) 350-0243

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 9

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 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": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1629355813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W CROSSTOWN PKWY STE 200",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081982",
            "telephone_number": "269-585-0200",
            "fax_number": "269-337-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W CROSSTOWN PKWY STE 200",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081982",
            "telephone_number": "269-585-0200",
            "fax_number": "269-337-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "KELLY",
        "middle_name": "NOEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704229883",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704229883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.