DR. DANIELLE KAY-TANIS KOESTNER (D.O.) – Family Medicine Physician, NPI 1033304092
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Loading map...
Provider Addresses for DR. DANIELLE KAY-TANIS KOESTNER (D.O.)
2700, Baker Street, Muskegon Heights, Muskegon County, Michigan, 49444, United States
MUSKEGON HEIGHTS, MI 494442157
Phone: (231) 737-1335
Fax: (231) 737-0534
Type: Mailing
3300 Eagle Run Dr NE Ste 103
Grand Rapids, MI 495257069
Phone: (614) 360-9995
Fax: (844) 571-1777
Type: Location
1139 Grand Bluffs Dr SW
Grand Rapids, MI 495348608
Phone: (616) 706-4179
Fax: (833) 764-4830
Type: Location
400 ALTAIR PKWY STE 3100
WESTERVILLE, OH 430827653
Phone: (614) 360-9995
Fax: (844) 571-1777
Type: Mailing
400 ALTAIR PKWY
WESTERVILLE, OH 430827652
Phone: (614) 360-9995
Fax: (614) 745-0165
Type: Location
1139 GRAND BLUFFS DR SW
GRAND RAPIDS, MI 495348608
Phone: (616) 706-4179
Fax: (833) 764-4830
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2022-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220527001061 | I | Family Practice | OH | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49444)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MI | 83036 | Hemoglobin A1C level | 27 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.