SHANE MATTHEW KROPIEWNICKI (FNP) – Family Nurse Practitioner, NPI 1225729353

SHANE MATTHEW KROPIEWNICKI (FNP) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704329341 (MI). The NPI Number for SHANE MATTHEW KROPIEWNICKI (FNP) is 1225729353

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
SHANE MATTHEW KROPIEWNICKI (FNP)
NPI
1225729353
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
18 May 2023
Last Update Date
11 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2318327170
Graduation Year
2023 (3 years ago)
PAC ID
3274991104
Group Practice PAC ID
6406740695
Professional Enrollment ID
I20230817001621
Address ID
MI496778041RE300XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for SHANE MATTHEW KROPIEWNICKI (FNP)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 300 N PATTERSON RD

    REED CITY, MI 496778041

    Phone: (231) 832-7170

    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.

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: 2023-08-17

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
I20230817001621INurse 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 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: 6406740695View full group profile
NameSpecialtyState
Geriatric Medicine, Internal MedicineMI
Pediatric MedicineMI
Nurse PractitionerMI
-MI
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
Hematology/Oncology, Internal MedicineMI
Hematology/Oncology, Internal MedicineMI

Reviews

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Frequently asked questions

How is SHANE MATTHEW KROPIEWNICKI (FNP) identified in CMS data?
CMS-hosted NPPES data lists SHANE MATTHEW KROPIEWNICKI (FNP) with NPI 1225729353.
Can I rely on SHANE MATTHEW KROPIEWNICKI (FNP) being an active provider?
As of the registry snapshot, SHANE MATTHEW KROPIEWNICKI (FNP) is marked active.
What taxonomy line describes SHANE MATTHEW KROPIEWNICKI (FNP)?
For research purposes, treat SHANE MATTHEW KROPIEWNICKI (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SHANE MATTHEW KROPIEWNICKI (FNP)?
SHANE MATTHEW KROPIEWNICKI (FNP)'s geographic hint is Grand Rapids, Michigan in our summary view.
Is the information about SHANE MATTHEW KROPIEWNICKI (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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