MARY ELLEN YEALIN – Nurse Practitioner, NPI 1164534582

MARY ELLEN YEALIN is a healthcare provider. based in Kalamazoo, Michigan. specializing in Nurse Practitioner. They hold a License No. 4704174695 (MI). The NPI Number for MARY ELLEN YEALIN is 1164534582

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELLEN YEALIN
NPI
1164534582
Phone
Not provided
Address
5943 STADIUM DR
Enumeration Date
31 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
2365580172
Group Practice PAC ID
7315856077
Professional Enrollment ID
I20091117000147
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARY ELLEN YEALIN

  • 5943, Stadium Drive, Oshtemo, Oshtemo Township, Kalamazoo County, Michigan, 49009, United States

    SUITE 3

    KALAMAZOO, MI 490093016

    Phone:

    Type: Mailing

  • 7901, Angling Road, Portage, Kalamazoo County, Michigan, 49024, United States

    SUITE B-201

    PORTAGE, MI 490240714

    Phone: (269) 324-8600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $921.

Total Amount is formed as General ($921) + Research ($0) + Ownership ($0) = $921.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($413).

Total Amount

$921

General + Research + Ownership

Payments

31

Total payment records

General Amount

$921

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49009)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315856077View full group profile
NameSpecialtyState
Internal MedicineMI
-MI
Cardiovascular Disease (Cardiology), Interventional CardiologyPA
-IN
Gastroenterology, Internal MedicineMI
Nurse PractitionerMI
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseMI
Family PracticeMI
Family PracticeMI
N E U R O L O G YGA

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Frequently asked questions

Does MARY ELLEN YEALIN have a public NPI I can cite?
Public records show MARY ELLEN YEALIN under NPI 1164534582.
Should I treat MARY ELLEN YEALIN as an active provider?
Patients and plans typically see MARY ELLEN YEALIN as active in the national extract.
What type of care does MARY ELLEN YEALIN provide?
MARY ELLEN YEALIN's profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MARY ELLEN YEALIN in Kalamazoo, Michigan?
For routing, start with Kalamazoo, Michigan for MARY ELLEN YEALIN, then verify phone and hours locally.
Can I export MARY ELLEN YEALIN's record?
You can download the official NPPES record; we summarize key fields for readability.

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