KATHRYN F KREZOSKI-EVANS (D.O.) – Family Medicine Physician, NPI 1194136721

KATHRYN F KREZOSKI-EVANS (D.O.) is a healthcare provider. based in Empire, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 5101020955 (MI). The NPI Number for KATHRYN F KREZOSKI-EVANS (D.O.) is 1194136721

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN F KREZOSKI-EVANS (D.O.)
NPI
1194136721
Phone
(231) 835-2088
Address
9975 W OTTAWA AVE
Enumeration Date
16 May 2014
Last Update Date
21 December 2020

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2319220400
Graduation Year
2014 (12 years ago)
PAC ID
5597043448
Group Practice PAC ID
1658326558
Professional Enrollment ID
I20161027000023
Address ID
MI496862630TR647XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
Kathryn.krezoskievans@poeg.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

4,418 FAMILY PRACTICE in MI

Provider Addresses for KATHRYN F KREZOSKI-EVANS (D.O.)

  • 9975 W OTTAWA AVE

    EMPIRE, MI 496309618

    Phone: (231) 835-2088

    Fax: (231) 935-2534

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $272.

Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($63).

Total Amount

$272

General + Research + Ownership

Payments

16

Total payment records

General Amount

$272

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

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: 2016-10-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161027000023IFamily 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 minutes10147$0
99213Established patient office or other outpatient visit, 20-29 minutes5525$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4040$0
99497Advance care planning, first 30 minutes3130$0
G0444Annual depression screening, 5 to 15 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 49630)

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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: 1658326558View full group profile
NameSpecialtyState
Family PracticeMI
-MI
Family Practice, Sports MedicineMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATHRYN F KREZOSKI-EVANS (D.O.)?
KATHRYN F KREZOSKI-EVANS (D.O.) — NPI 1194136721 — is the standard way to identify this listing.
Does CMS list KATHRYN F KREZOSKI-EVANS (D.O.) as active?
Yes — KATHRYN F KREZOSKI-EVANS (D.O.) is active in the NPI listing used on this page.
What healthcare role does KATHRYN F KREZOSKI-EVANS (D.O.) hold?
Scheduling teams often label KATHRYN F KREZOSKI-EVANS (D.O.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KATHRYN F KREZOSKI-EVANS (D.O.)?
KATHRYN F KREZOSKI-EVANS (D.O.)'s geographic hint is Empire, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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