SUSAN D ELLISON RN
NPI 1255960597
Registered Nurse - Ambulatory Care in Kalamazoo, MI

Active since April 08, 2020
5629 STADIUM DR STE D, KALAMAZOO, MI 49009(269) 372-5701(269) 372-5702 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan D Ellison Rn NPPES

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

SUSAN D ELLISON RN (NPI 1255960597) is an individual ambulatory care provider in Kalamazoo, Michigan, licensed in Michigan (470422171) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1255960597
Entity TypeIndividualFemale
Primary Taxonomy163WP2201X
Provider Legal NameSUSAN D ELLISONCredential: RN
Location Address5629 STADIUM DR STE DKalamazoo, MI 49009-1952
Mailing Address5629 Stadium Dr Ste DKalamazoo, MI 49009-1952 · (269) 372-5701 · Fax (269) 372-5702
Fax(269) 372-5702
Sole ProprietorNo
Enumeration DateApril 8, 2020
NPPES CertifiedApril 8, 2020
NPI 1255960597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License Licensed in MI · 470422171
5629 STADIUM DR STE D, Kalamazoo, MI 49009

Other Providers at the Same Location NPPES 6

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

Registered Nurse (Case Management)
5629 STADIUM DR STE D
KALAMAZOO, MI 49009
Physician Assistant
5629 STADIUM DR STE D
KALAMAZOO, MI 49009
Pharmacist
5629 STADIUM DR STE D
KALAMAZOO, MI 49009
Physician Assistant
5629 STADIUM DR STE D
KALAMAZOO, MI 49009
Physician Assistant
5629 STADIUM DR STE D
KALAMAZOO, MI 49009
Nurse Practitioner (Family)
5629 STADIUM DR STE D
KALAMAZOO, MI 49009

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 Susan Ellison's NPI number?

The NPI number for Susan Ellison is 1255960597. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Susan Ellison located?

Susan Ellison practices at 5629 Stadium Dr Ste D, Kalamazoo, MI 49009. The listed phone number is (269) 372-5701.

What is Susan Ellison's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Ambulatory Care, with taxonomy code 163WP2201X.

When was this NPI record last updated?

The NPPES record for Susan Ellison was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.