KAILI WALKER (P.A.C) – Medical Physician Assistant, NPI 1023382108

KAILI WALKER (P.A.C) is a healthcare provider. based in Lowell, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.C. They hold a License No. 5601006287 (MI). The NPI Number for KAILI WALKER (P.A.C) is 1023382108

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KAILI WALKER (P.A.C)
NPI
1023382108
Phone
(616) 252-5600
Address
2550 W MAIN ST
Enumeration Date
7 March 2012
Last Update Date
4 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
8729230891
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20121219000021
Address ID
MI495463808GR5060XSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for KAILI WALKER (P.A.C)

  • 2550 W MAIN ST

    LOWELL, MI 493318695

    Phone: (616) 252-5600

    Fax: (616) 252-5600

    Type: Location

  • 5900 BYRON CENTER AVE SW

    MEDICAL ADMINISTRATION

    WYOMING, MI 495199606

    Phone: (616) 252-3243

    Fax: (616) 252-0260

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-12-19

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
I20121219000021IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes8644$0
99213Established patient office or other outpatient visit, 20-29 minutes4735$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1818$0
View full utilization report →

Insurance plans in this area (ZIP 49331)

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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: 0941513303View full group profile
NameSpecialtyState
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

What unique ID ties claims to KAILI WALKER (P.A.C)?
NPI 1023382108 is assigned to KAILI WALKER (P.A.C) under the national enumeration system.
Does this profile mean KAILI WALKER (P.A.C) is currently active?
Yes — KAILI WALKER (P.A.C) appears active in the national provider directory.
What kind of provider is KAILI WALKER (P.A.C)?
The page reflects Medical Physician Assistant for KAILI WALKER (P.A.C). Clinical services aligned with this taxonomy classification.
What location metadata exists for KAILI WALKER (P.A.C)?
The page summarizes Lowell, Michigan for KAILI WALKER (P.A.C); expand the address list for detail.
How can I contact KAILI WALKER (P.A.C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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