MRS. KIMBERLY ANN DOPPELT (PA-C) – Physician Assistant, NPI 1245309996
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KIMBERLY ANN DOPPELT (PA-C)
901 LAKESHORE DR # 108
ISHPEMING, MI 498491367
Phone: (906) 485-2747
Type: Location
5530 Wisconsin Ave
Suite 1660
Chevy Chase, MD 208154404
Phone: (301) 657-9876
Fax: (301) 657-8240
Type: Location
Bell Hospital, 901, Lakeshore Drive, Ishpeming, Marquette County, Michigan, 49849, United States
#108
ISHPEMING, MI 49849
Phone: (906) 485-2747
Fax: (906) 485-2732
Type: Mailing
Chevy Chase Building, 5530, Wisconsin Avenue, Friendship Heights Village, Montgomery County, Maryland, 20815, United States
SUITE 1660
CHEVY CHASE, MD 208154404
Phone: (301) 657-9876
Fax: (301) 657-8240
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-07-21 • Largest payer in this snapshot: Smith+Nephew, Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $19 |
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: 2012-02-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120222000847 | I | Physician Assistant | MI | TBD |
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.
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 49849)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Nurse Practitioner | WY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Nurse Practitioner | SC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | RI |
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