KERRY NATHAN (PA) – Physician Assistant, NPI 1003882242

KERRY NATHAN (PA) is a healthcare provider. based in Warren, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601002908 (MI). The NPI Number for KERRY NATHAN (PA) is 1003882242

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
KERRY NATHAN (PA)
NPI
1003882242
Phone
(586) 983-3666
Address
31150 HOOVER
Enumeration Date
27 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5869833666
Graduation Year
1998 (28 years ago)
PAC ID
7911970058
Group Practice PAC ID
6709806714
Professional Enrollment ID
I20040817000332
Address ID
MI480937618WA31150BXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for KERRY NATHAN (PA)

  • Hoover, Sheffield Township, Warren County, Pennsylvania, 16347, United States

    SUITE B

    WARREN, MI 48093

    Phone: (586) 983-3666

    Fax: (586) 983-3776

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 397 Open Payments records for all available years, with a total value of $6,841.

Total Amount is formed as General ($6,841) + Research ($0) + Ownership ($0) = $6,841.

Last reported payment date: 2024-12-22 • Largest payer in this snapshot: UCB, Inc. ($823).

Total Amount

$6,841

General + Research + Ownership

Payments

397

Total payment records

General Amount

$6,841

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040817000332IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes5347$0
99214Established patient office or other outpatient visit, 30-39 minutes4238$0
99213Established patient office or other outpatient visit, 20-29 minutes3123$0
View full utilization report →

Insurance plans in this area (ZIP 48093)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709806714View full group profile
NameSpecialtyState
Neurology, Sleep MedicineMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

Does KERRY NATHAN (PA) have a public NPI I can cite?
Public records show KERRY NATHAN (PA) under NPI 1003882242.
Is KERRY NATHAN (PA) currently accepting referrals based on NPI status?
Registry metadata lists KERRY NATHAN (PA) as active.
Which specialty label fits KERRY NATHAN (PA)?
NPPES ties KERRY NATHAN (PA) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KERRY NATHAN (PA)?
KERRY NATHAN (PA) is associated with Warren, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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