KRESTIN RADONOVICH (PHD) – Psychologist, NPI 1063627396
Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
1,225 CLINICAL PSYCHOLOGIST in MI
Provider Addresses for KRESTIN RADONOVICH (PHD)
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 495259746
Phone: (616) 365-8920
Fax: (616) 365-8971
Type: Location
300 68TH ST SE
GRAND RAPIDS, MI 495486927
Phone: (616) 455-5000
Type: Mailing
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
CHILDREN'S HOSPITAL OF PITTSBURGH
ORLANDO, FL 328918025
Phone:
Type: Mailing
UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States
BOX 100371
GAINESVILLE, FL 326103003
Phone: (352) 392-3681
Type: Location
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.
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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: 2025-12-04
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210922003431 | I | Clinical Psychologist | WV | TBD |
| I20251204002652 | I | Clinical Psychologist | MI | 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 49525)
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