MISS KATELYNN ADELLA O'KEEFE (PA) – Medical Physician Assistant, NPI 1265987309

MISS KATELYNN ADELLA O'KEEFE (PA) is a healthcare provider. based in Ferndale, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MISS KATELYNN ADELLA O'KEEFE (PA) is 1265987309

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MISS KATELYNN ADELLA O'KEEFE (PA)
NPI
1265987309
Phone
(906) 361-6655
Address
1360 PINECREST DR
Enumeration Date
18 August 2016
Last Update Date
18 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6316964357
Graduation Year
2016 (10 years ago)
PAC ID
0042586109
Group Practice PAC ID
9335401454
Professional Enrollment ID
I20171018000993
Address ID
NY117382879FA100XXRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MISS KATELYNN ADELLA O'KEEFE (PA)

  • 1360, Pinecrest Drive, Ferndale, Oakland County, Michigan, 48220, United States

    FERNDALE, MI 482201608

    Phone: (906) 361-6655

    Type: Mailing

  • DMC Sinai-Grace Hospital, 6071, West Outer Drive, Northwest Detroit, Detroit, Wayne County, Michigan, 48235, United States

    DETROIT, MI 482352624

    Phone: (313) 966-4800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 98 Open Payments records for all available years, with a total value of $1,983.

Total Amount is formed as General ($1,983) + Research ($0) + Ownership ($0) = $1,983.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($218).

Total Amount

$1,983

General + Research + Ownership

Payments

98

Total payment records

General Amount

$1,983

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-10-18

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
I20171018000993IPhysician AssistantNYTBD

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 48220)

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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: 9335401454View full group profile
NameSpecialtyState
Physician AssistantNY
Physician AssistantNY
Nurse PractitionerNY
Nurse PractitionerNY
Physician AssistantCT
Nurse PractitionerNY
Mental Health CounselorNY
P S Y C H I A T R YNY
Physician AssistantNY
Physician AssistantNY

Reviews

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Frequently asked questions

Is MISS KATELYNN ADELLA O'KEEFE (PA) listed with a National Provider Identifier?
Yes — MISS KATELYNN ADELLA O'KEEFE (PA) has NPI 1265987309 on file in the registry.
Is there an active status for MISS KATELYNN ADELLA O'KEEFE (PA)?
For scheduling context, MISS KATELYNN ADELLA O'KEEFE (PA) is shown as active in the registry.
What clinical focus is listed for MISS KATELYNN ADELLA O'KEEFE (PA)?
At a glance, MISS KATELYNN ADELLA O'KEEFE (PA) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Michigan is MISS KATELYNN ADELLA O'KEEFE (PA) registered?
Use Ferndale, Michigan as the headline location for MISS KATELYNN ADELLA O'KEEFE (PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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