PATRICIA ANNE CONLON (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1033987532

PATRICIA ANNE CONLON (NURSE PRACTITIONER) is a healthcare provider. based in Traverse city, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 4704166105 (MI). The NPI Number for PATRICIA ANNE CONLON (NURSE PRACTITIONER) is 1033987532

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA ANNE CONLON (NURSE PRACTITIONER)
NPI
1033987532
Phone
(248) 931-8677
Address
11272 PENINSULA DR
Enumeration Date
13 December 2023
Last Update Date
13 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2314216921
Graduation Year
1985 (41 years ago)
PAC ID
7315397981
Group Practice PAC ID
7214150770
Professional Enrollment ID
I20231221003283
Address ID
MI496868683TR815XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for PATRICIA ANNE CONLON (NURSE PRACTITIONER)

  • 11272 PENINSULA DR

    TRAVERSE CITY, MI 496868289

    Phone: (248) 931-8677

    Type: Mailing

  • 815 BUSINESS PARK DR STE A

    TRAVERSE CITY, MI 496868683

    Phone: (248) 931-8677

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($115).

Total Amount

$130

General + Research + Ownership

Payments

2

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

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: 2023-12-21

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
I20231221003283INurse PractitionerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49686)

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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: 7214150770View full group profile

Reviews

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Frequently asked questions

How do payers reference PATRICIA ANNE CONLON (NURSE PRACTITIONER)?
For PATRICIA ANNE CONLON (NURSE PRACTITIONER), use NPI 1033987532 as the unique 10-digit identifier.
Is there an active status for PATRICIA ANNE CONLON (NURSE PRACTITIONER)?
For scheduling context, PATRICIA ANNE CONLON (NURSE PRACTITIONER) is shown as active in the registry.
What clinical focus is listed for PATRICIA ANNE CONLON (NURSE PRACTITIONER)?
At a glance, PATRICIA ANNE CONLON (NURSE PRACTITIONER) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Michigan is PATRICIA ANNE CONLON (NURSE PRACTITIONER) registered?
Use Traverse City, Michigan as the headline location for PATRICIA ANNE CONLON (NURSE PRACTITIONER) here.
Can I trust this NPI listing for PATRICIA ANNE CONLON (NURSE PRACTITIONER)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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