DR. KAITLYN HOPE CHUNG (DNP, FNP-C) – Emergency Medicine Physician, NPI 1063104263

DR. KAITLYN HOPE CHUNG (DNP, FNP-C) is a healthcare provider. based in Stevensville, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-C. They hold a License No. 4704327689 (MI). The NPI Number for DR. KAITLYN HOPE CHUNG (DNP, FNP-C) is 1063104263

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAITLYN HOPE CHUNG (DNP, FNP-C)
NPI
1063104263
Phone
(269) 429-9677
Address
5515 Cleveland Ave Ste 5
Enumeration Date
24 May 2023
Last Update Date
23 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2023 (3 years ago)
PAC ID
4385093327
Group Practice PAC ID
2769719236
Professional Enrollment ID
I20231215000672
Address ID
MI490852112SA1234XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for DR. KAITLYN HOPE CHUNG (DNP, FNP-C)

  • 5515 Cleveland Ave Ste 5

    Stevensville, MI 491279669

    Phone: (269) 429-9677

    Type: Location

  • 1766 POPLAR PATH

    STEVENSVILLE, MI 491279653

    Phone: (703) 376-7076

    Type: Mailing

  • 1234 NAPIER AVE

    SAINT JOSEPH, MI 490852112

    Phone: (269) 983-8300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: PFIZER INC. ($54).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$54
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: 2023-12-15

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
I20231215000672INurse 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 49127)

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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: 2769719236View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerOH
Emergency MedicineMI
-MI
Emergency MedicineOH
Emergency MedicineMI
-MI

Reviews

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Frequently asked questions

How do I look up DR. KAITLYN HOPE CHUNG (DNP, FNP-C) by NPI?
Use NPI 1063104263 when you need to reference DR. KAITLYN HOPE CHUNG (DNP, FNP-C) in forms, claims, or directories.
Is DR. KAITLYN HOPE CHUNG (DNP, FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. KAITLYN HOPE CHUNG (DNP, FNP-C)'s specialty in plain language?
Clinically, the directory lists DR. KAITLYN HOPE CHUNG (DNP, FNP-C) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. KAITLYN HOPE CHUNG (DNP, FNP-C)'s primary listing?
We display Stevensville, Michigan because that is what the record indicates for DR. KAITLYN HOPE CHUNG (DNP, FNP-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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