ANNA LIESE KOOI – Family Medicine Physician, NPI 1255999751
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for ANNA LIESE KOOI
3443 Farr Rd
Fruitport, MI 494158779
Phone: (231) 672-2900
Type: Location
2700 Baker St Fl 3
Muskegon, MI 494442157
Phone: (317) 371-3352
Fax: (231) 737-1335
Type: Location
Leahy Street, Muskegon, Muskegon County, Michigan, 49444, United States
MUSKEGON, MI 494425543
Phone: (231) 727-5209
Type: Mailing
3443, Farr Road, Fruitport Charter Township, Muskegon County, Michigan, 49415, United States
FRUITPORT, MI 494158779
Phone: (231) 672-2900
Type: Location
11 TRAFALGAR SQ
TRAFALGAR, IN 461819515
Phone: (317) 680-9103
Fax: (317) 878-2355
Type: Mailing
5550 S EAST ST STE C
INDIANAPOLIS, IN 462271991
Phone: (317) 534-4660
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $604.
Total Amount is formed as General ($604) + Research ($0) + Ownership ($0) = $604.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Novo Nordisk Inc ($251).
Total Amount
$604
General + Research + Ownership
Payments
26
Total payment records
General Amount
$604
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $251 |
| Amgen Inc. | $179 |
| Lundbeck LLC | $47 |
| GlaxoSmithKline, LLC. | $39 |
| Lilly USA, LLC | $16 |
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: 2022-09-12
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 |
|---|---|---|---|---|
| I20220912001027 | I | Family Practice | 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 49415)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI |
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