Kelly Bannasch, PA-C
NPI 1043330889 · Medical Physician Assistant · Detroit, MI
Kelly Bannasch, PA-C is a Medical Physician Assistant provider in Detroit, MI (NPI 1043330889).
Provider details
- NPI number
- 1043330889
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601002420 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2012-01-24
Frequently asked questions
- What is Kelly Bannasch's NPI number?
- Kelly Bannasch's National Provider Identifier (NPI) is 1043330889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Bannasch's specialty?
- Kelly Bannasch is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Bannasch located?
- Kelly Bannasch's practice location on file with NPPES is 6071 W Outer Dr, Detroit, MI 48235-2624.
- What is Kelly Bannasch's phone number?
- The practice phone number listed in the NPPES registry for Kelly Bannasch is (313) 966-8559.
- Is Kelly Bannasch's NPI active?
- Yes — Kelly Bannasch's NPI (1043330889) is active in the NPPES registry as of the last update on 2012-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.