MICHAEL DAVID MCCALLISTER
NPI 1174185771
Nurse Practitioner in Portage, MI

Active since July 03, 2019
3770 GLENKERRY CT, PORTAGE, MI 49024(269) 329-2887(269) 329-2805 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2021, Jul 3, 2019 (2 updates tracked since 2019).

About Michael David Mccallister NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL DAVID MCCALLISTER (NPI 1174185771) is an individual nurse practitioner in Portage, Michigan, licensed in Michigan (4704311437) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1174185771
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMICHAEL DAVID MCCALLISTER
Location Address3770 GLENKERRY CTPortage, MI 49024-0700
Mailing Address8223 Glenwynd DrKalamazoo, MI 49009-9680 · (269) 760-3434
Fax(269) 329-2805
Sole ProprietorNo
Enumeration DateJuly 3, 2019
Last NPPES UpdateMay 5, 20212 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
NPI 1174185771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704311437
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3770 GLENKERRY CT, Portage, MI 49024

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
3770 GLENKERRY CT
PORTAGE, MI 49024
Pain Medicine (Interventional Pain Medicine)
3770 GLENKERRY CT
PORTAGE, MI 49024
Nurse Practitioner (Family)
3770 GLENKERRY CT
PORTAGE, MI 49024
Pain Medicine (Interventional Pain Medicine)
3770 GLENKERRY CT
PORTAGE, MI 49024
Pain Medicine (Interventional Pain Medicine)
3770 GLENKERRY CT
PORTAGE, MI 49024
Psychologist (Clinical)
3770 GLENKERRY CT
PORTAGE, MI 49024
Psychologist (Clinical)
3770 GLENKERRY CT
PORTAGE, MI 49024
Pain Medicine (Interventional Pain Medicine)
3770 GLENKERRY CT
PORTAGE, MI 49024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Mccallister's NPI number?

The NPI number for Michael Mccallister is 1174185771. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Michael Mccallister located?

Michael Mccallister practices at 3770 Glenkerry Ct, Portage, MI 49024. The listed phone number is (269) 329-2887.

What is Michael Mccallister's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Michael Mccallister was last updated on May 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.