MICHAEL DAVID MCCALLISTER
NPI 1174185771
Nurse Practitioner in Portage, MI

Q: 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.

Q: What is Michael Mccallister's specialty?

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

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: August 16, 2026.

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

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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

Phone(269) 329-2887

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

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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.

MARIA ANNA CSISZAR AGACNP-BC

Nurse Practitioner (Adult Health)