KATHERINE LYNN BECKER MITZNER (DO) – Family Medicine Physician, NPI 1154816890

KATHERINE LYNN BECKER MITZNER (DO) is a healthcare provider. based in Wyoming, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5101023811 (MI). The NPI Number for KATHERINE LYNN BECKER MITZNER (DO) is 1154816890

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE LYNN BECKER MITZNER (DO)
NPI
1154816890
Phone
(616) 252-7389
Address
5900 BYRON CENTER AVE SW
Enumeration Date
26 June 2018
Last Update Date
5 June 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2489341703
Graduation Year
2018 (8 years ago)
PAC ID
5395091300
Group Practice PAC ID
7315992922
Professional Enrollment ID
I20210907000197
Address ID
MI483093609RO2940XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for KATHERINE LYNN BECKER MITZNER (DO)

  • Metro Health Hospital, 5900, Byron Center Avenue Southwest, Wyoming, Kent County, Michigan, 49519, United States

    WYOMING, MI 495199686

    Phone: (616) 252-7389

    Type: Mailing

  • 2940 CROOKS RD

    ROCHESTER HILLS, MI 483093609

    Phone: (248) 997-9700

    Fax: (248) 997-9707

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $252.

Total Amount is formed as General ($252) + Research ($0) + Ownership ($0) = $252.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Novo Nordisk Inc ($72).

Total Amount

$252

General + Research + Ownership

Payments

15

Total payment records

General Amount

$252

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2021-09-07

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
I20210907000197IFamily PracticeMITBD

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 minutes12376$0
99213Established patient office or other outpatient visit, 20-29 minutes7061$0
81003Automated urinalysis test2420$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2424$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1514$0
View full utilization report →

Insurance plans in this area (ZIP 49519)

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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: 7315992922View full group profile
NameSpecialtyState
Family PracticeMI
Family PracticeMI
Family PracticeMI
-MI
Physician AssistantMI
Family PracticeMI
Physician AssistantMI
Physician AssistantMI
Family PracticeMI

Reviews

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Frequently asked questions

What unique ID ties claims to KATHERINE LYNN BECKER MITZNER (DO)?
NPI 1154816890 is assigned to KATHERINE LYNN BECKER MITZNER (DO) under the national enumeration system.
Does this profile mean KATHERINE LYNN BECKER MITZNER (DO) is currently active?
Yes — KATHERINE LYNN BECKER MITZNER (DO) appears active in the national provider directory.
What field does KATHERINE LYNN BECKER MITZNER (DO) work in?
You can think of KATHERINE LYNN BECKER MITZNER (DO) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for KATHERINE LYNN BECKER MITZNER (DO)?
We surface Wyoming, Michigan for KATHERINE LYNN BECKER MITZNER (DO) based on available NPPES addresses.
Is KATHERINE LYNN BECKER MITZNER (DO) a real provider?
This page reflects official NPPES data for NPI 1154816890. Always confirm identity and privileges with the practice and licensing boards.

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