Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anastasia Kanellopoulos, NP

Individual provider Acute Care Nurse Practitioner · NPI 1750781373

Anastasia Kanellopoulos, NP is a Nurse Practitioner in Jackson, Michigan. Qualified in 2014, 12 years ago. Practices with Memorial Clinical Physiology Group, a 12-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

744 W Michigan Ave Ste 300
Jackson, MI 49201-1900 Not confirmed with CMS for 12 years — call before visiting
Phone: (517) 768-0600
Fax: (517) 768-0606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704294210 (MI)

Record details

NPI number1750781373
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 2, 2014
Last updated in NPPESSeptember 2, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Memorial Clinical Physiology Group — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients150
Services billed 334 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Affiliated with 1 hospital, which CMS identifies by certification number only.

Colleagues at Memorial Clinical Physiology Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Jackson