LAVINIA KERN – Family Nurse Practitioner, NPI 1225809494

LAVINIA KERN is a healthcare provider. based in Mount clemens, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704327116 (MI). The NPI Number for LAVINIA KERN is 1225809494

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
LAVINIA KERN
NPI
1225809494
Phone
(586) 871-2155
Address
215 NORTH AVE
Enumeration Date
15 January 2024
Last Update Date
5 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5868712155
Graduation Year
2023 (3 years ago)
PAC ID
3173968377
Group Practice PAC ID
0446647895
Professional Enrollment ID
I20240227004284
Address ID
MI480431716MO215XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for LAVINIA KERN

  • 215 NORTH AVE

    MOUNT CLEMENS, MI 480431716

    Phone: (586) 871-2155

    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)

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: 2024-02-27

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
I20240227004284INurse 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 48043)

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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: 0446647895View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Does LAVINIA KERN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LAVINIA KERN uses 1225809494.
Is LAVINIA KERN listed as active for patients and plans?
The listing shows LAVINIA KERN as active in the NPI system.
What is LAVINIA KERN's primary classification?
Family Nurse Practitioner is the headline specialty for LAVINIA KERN here. Clinical services aligned with this taxonomy classification.
Where should I expect LAVINIA KERN on a map?
Expect Mount Clemens, Michigan as a primary anchor for LAVINIA KERN unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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