DR. KATHERINE ELIZABETH KRUSE (M.D.) – Pediatric Critical Care Medicine Physician, NPI 1225340565

DR. KATHERINE ELIZABETH KRUSE (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301096889 (MI). The NPI Number for DR. KATHERINE ELIZABETH KRUSE (M.D.) is 1225340565

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHERINE ELIZABETH KRUSE (M.D.)
NPI
1225340565
Phone
(616) 391-9377
Address
1000 Monroe Ave NW
Enumeration Date
1 July 2010
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6128133300
Graduation Year
2010 (16 years ago)
PAC ID
6901181098
Group Practice PAC ID
8022084235
Professional Enrollment ID
I20170816001254
Address ID
MN554044387MI2530XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,204 PEDIATRIC MEDICINE in MI

Provider Addresses for DR. KATHERINE ELIZABETH KRUSE (M.D.)

  • 1000 Monroe Ave NW

    Grand Rapids, MI 495031455

    Phone: (616) 391-9377

    Type: Location

  • 2530 CHICAGO AVE STE 400

    MINNEAPOLIS, MN 554044387

    Phone: (612) 813-3300

    Fax: (612) 813-3349

    Type: Location

  • 4925 CHICAGO AVE.

    MINNEAPOLIS, MN 55417

    Phone:

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-08-16

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
I20170816001254IPediatric MedicineMNTBD

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 49503)

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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: 8022084235View full group profile
NameSpecialtyState
Hospice/Palliative Care, Pediatric Medicine, Critical Care (Intensivists)MN
Pediatric MedicineMD
Critical Care (Intensivists), Pediatric MedicineMN
Critical Care (Intensivists), Pediatric MedicineMN
Critical Care (Intensivists), Pediatric MedicineIL
-MN
Pulmonary Disease, Pediatric MedicineMN
Pulmonary DiseaseMN
Critical Care (Intensivists)MN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KATHERINE ELIZABETH KRUSE (M.D.)'s NPI?
Yes. DR. KATHERINE ELIZABETH KRUSE (M.D.) is listed with NPI 1225340565 in the public NPI dataset.
Can I rely on DR. KATHERINE ELIZABETH KRUSE (M.D.) being an active provider?
As of the registry snapshot, DR. KATHERINE ELIZABETH KRUSE (M.D.) is marked active.
What is DR. KATHERINE ELIZABETH KRUSE (M.D.)'s primary classification?
Pediatric Critical Care Medicine Physician is the headline specialty for DR. KATHERINE ELIZABETH KRUSE (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KATHERINE ELIZABETH KRUSE (M.D.)?
DR. KATHERINE ELIZABETH KRUSE (M.D.)'s geographic hint is Grand Rapids, Michigan in our summary view.
Why does DR. KATHERINE ELIZABETH KRUSE (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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