Individual provider Active NPI

Joel Eric Michalak, PA-C

  • Physician Assistant
  • Kalamazoo, MI
National Provider Identifier
1871167759
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010062 Issued in MI
Practice address
5815 Copper Beech Blvd Apt a
Kalamazoo, MI 49009-5724
Phone
(734) 474-3581
NPI assigned
May 17, 2021
Last updated
May 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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 5601010062 MI Primary

Addresses

Primary practice location

5815 Copper Beech Blvd Apt a
Kalamazoo, MI 49009-5724

Mailing address

5815 Copper Beech Blvd Apt a
Kalamazoo, MI 49009-5724
Phone (734) 474-3581

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
I20250212002599 MI Practitioner - Physician Assistant 5395275820 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Western Michigan Un Homer Stryker School of Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

3025 Gull Rd
Kalamazoo, MI 49048-1281
Phone (269) 552-2225

3035 Capital Ave SW
Battle Creek, MI 49015-4334

7901 Angling Rd
Portage, MI 49024-0714

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Dowagiac, Inc CurrentSince Mar 7, 2025 Accepting new patients
Promed Healthcare CurrentSince Mar 7, 2025 Accepting new patients
Beacon Medical Group Michigan Inc CurrentSince Mar 7, 2025 Accepting new patients
Beacon Dowagiac, Inc Past Accepting new patients

Locations

551 Linn St
Ste 247
Allegan, MI 49010
Phone (269) 686-4936

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052

1717 Shaffer St
Ste 2
Kalamazoo, MI 49048

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

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

Organizations & group practices 5

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.

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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1871167759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 COPPER BEECH BLVD APT A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095724",
            "telephone_number": "734-474-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 COPPER BEECH BLVD APT A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095724",
            "telephone_number": "734-474-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALAK",
        "first_name": "JOEL",
        "middle_name": "ERIC",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.