KATHLEEN BROSSY (NP) – Acute Care Nurse Practitioner, NPI 1235489717

KATHLEEN BROSSY (NP) is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704251963 (MI). The NPI Number for KATHLEEN BROSSY (NP) is 1235489717

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN BROSSY (NP)
NPI
1235489717
Phone
(313) 283-8243
Address
2799 W GRAND BLVD
Enumeration Date
12 September 2012
Last Update Date
12 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3139162600
Graduation Year
2012 (14 years ago)
PAC ID
5193963320
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20130530000305
Address ID
MI482022608DE2799XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for KATHLEEN BROSSY (NP)

  • 2799 W GRAND BLVD

    DETROIT, MI 482022608

    Phone: (313) 283-8243

    Type: Location

  • 49958 PLYMOUTH WAY

    PLYMOUTH, MI 481706420

    Phone: (734) 233-7379

    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: 2013-05-30

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
I20130530000305INurse 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 48202)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

How is KATHLEEN BROSSY (NP) identified in CMS data?
CMS-hosted NPPES data lists KATHLEEN BROSSY (NP) with NPI 1235489717.
Can I rely on KATHLEEN BROSSY (NP) being an active provider?
As of the registry snapshot, KATHLEEN BROSSY (NP) is marked active.
What is KATHLEEN BROSSY (NP) best known for clinically?
Directory data describes KATHLEEN BROSSY (NP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for KATHLEEN BROSSY (NP)?
KATHLEEN BROSSY (NP)'s geographic hint is Detroit, Michigan in our summary view.
Why does KATHLEEN BROSSY (NP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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