Active NPI
Kelly Schultz, PA-C
- Physician Assistant
- Portage, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008809
- Practice address
- 2725 Airview Blvd Ste 105
Portage, MI 49002-1804 - Phone
- (269) 349-8386
- Fax
- (269) 349-8397
- NPI assigned
- Sep 10, 2018
- Last updated
- Oct 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008809 | MI | Primary |
Addresses
Primary practice location
2725 Airview Blvd Ste 105
Portage, MI 49002-1804
Mailing address
PO Box 40412
Belfast, ME 04915-1255
Phone (248) 824-6500
Other practice location 1
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300
Other names 1
- Kelly Vigansky
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Okemos, MI 48864
Phone (517) 347-4085
Grand Rapids, MI 49546
Phone (616) 942-7400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601008809 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085
2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386
Interoperability endpoints
- kelly.schultz.1@32913.direct.athenahealth.com
- ms_kschul39@landmarkhealth-direct.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
-
- Emergency Medicine Physician
- Saint Joseph, MI
- NPI 1316405103
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Elara Caring
- Home Health Agency
- Jackson, MI
- NPI 1588642110
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
dba Corewell Health Lakeland Hospitals St. Joseph Hospital
- Home Health Agency
- Benton Harbor, MI
- NPI 1912094525
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1023477478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1861975476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40412",
"city": "BELFAST",
"state": "ME",
"postal_code": "049151255",
"telephone_number": "248-824-6500",
"fax_number": "855-618-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 AIRVIEW BLVD STE 105",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490021804",
"telephone_number": "269-349-8386",
"fax_number": "269-349-8397"
}
],
"practiceLocations": [
{
"address_1": "1234 Napier Ave",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MI",
"postal_code": "490852112",
"country_code": "US",
"telephone_number": "269-983-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULTZ",
"first_name": "KELLY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601008809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "VIGANSKY",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.