Kelly A. Bannasch, PA-C
Medical Physician Assistant · Detroit, MI
Kelly A. Bannasch, PA-C is a medical physician assistant with a practice address in Detroit, Michigan, and NPI 1043330889, issued on Mar 29, 2007. Check the license (Michigan 5601002420, as entered in NPPES) with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kelly A. Bannasch
- Credential
- PA-C
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 5601002420 MI
Self-reported in NPPES; status is on the state search - Practice location
- 6071 W Outer Dr, Detroit, MI 48235
- Phone
- (313) 966-8559
- Enumerated
- Mar 29, 2007
- Record last updated
- Jan 24, 2012 (not updated in 14 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 6071 W Outer Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Deena Abdel-Gadir, MDStudent in an Organized Health Care Education/Training Program1669313789
- Ahmed AbdelrahmanInternal Medicine Physician1457026726
- Hassan AbdinurStudent in an Organized Health Care Education/Training Program1134861552
- Abel Abebe, MDStudent in an Organized Health Care Education/Training Program1639813066
- Kamal Abu-Rashed, M.D.Internal Medicine Physician1184890253
- Pierre Adelson, MDStudent in an Organized Health Care Education/Training Program1154113355
Verify Kelly A. Bannasch in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 5601002420Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Medical Physician Assistant providers in Michigan
There are 1,140 medical physician assistant records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other medical physician assistant records in Michigan
- Fahtme AbdallahYpsilanti, MI1427579077
- Karina Acevedo, PA-CKalamazoo, MI1083150460
- April Adado, PAEaton Rapids, MI1396938825
- Sarah Adams, P.A.C.Petoskey, MI1568559383
- Tyler AdkinsJackson, MI1316827215
- Matthew Adler, PABrighton, MI1033293659
- Sophia Adonakis, PA-CYpsilanti, MI1134678055
- Alyssa AhmadFarmington Hills, MI1053014498
- Lisa Ailstock, PA-CKalamazoo, MI1861674343
- Rama Al Khayat, PA-CBloomfield Hills, MI1730916172
Common questions
What is Kelly A. Bannasch, PA-C's NPI number?
Kelly A. Bannasch, PA-C's National Provider Identifier (NPI) is 1043330889, issued on Mar 29, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Kelly A. Bannasch, PA-C located?
The NPPES record lists a practice address at 6071 W Outer Dr, Detroit, MI, 48235. Phone: (313) 966-8559. Providers update this record themselves, so call before visiting.
How can I verify Kelly A. Bannasch, PA-C's license?
NPPES lists Michigan license number 5601002420, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.