DR. KRISTEN E WUCKERT (MD) – Obstetrics & Gynecology Physician, NPI 1285615575

DR. KRISTEN E WUCKERT (MD) is a healthcare provider. based in Warren, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 4301070122 (MI). The NPI Number for DR. KRISTEN E WUCKERT (MD) is 1285615575

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTEN E WUCKERT (MD)
NPI
1285615575
Phone
(586) 574-1313
Address
11300 E 13 MILE RD
Enumeration Date
14 November 2005
Last Update Date
4 October 2012

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2482096457
Graduation Year
1997 (29 years ago)
PAC ID
7113175290
Group Practice PAC ID
2466543640
Professional Enrollment ID
I20120914000197
Address ID
MI480932500WA11300RDXX523
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,734 OBSTETRICS/GYNECOLOGY in MI

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Provider Addresses for DR. KRISTEN E WUCKERT (MD)

  • 11300, East 13 Mile Road, Warren, Macomb County, Michigan, 48093, United States

    STE 4

    WARREN, MI 480932500

    Phone: (586) 574-1313

    Fax: (586) 574-0842

    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)

CMS reports 5 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($75).

Total Amount

$118

General + Research + Ownership

Payments

5

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-09-14

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
I20120914000197IObstetrics/GynecologyMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0444Annual depression screening, 5 to 15 minutes4646$0
99213Established patient office or other outpatient visit, 20-29 minutes3631$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3232$0
99214Established patient office or other outpatient visit, 30-39 minutes1512$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1515$0
View full utilization report →

Insurance plans in this area (ZIP 48093)

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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: 2466543640View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Certified Nurse Midwife (Cnm)MI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

Does DR. KRISTEN E WUCKERT (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KRISTEN E WUCKERT (MD) uses 1285615575.
Is DR. KRISTEN E WUCKERT (MD) still practicing?
DR. KRISTEN E WUCKERT (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. KRISTEN E WUCKERT (MD)?
For research purposes, treat DR. KRISTEN E WUCKERT (MD) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. KRISTEN E WUCKERT (MD) serve?
DR. KRISTEN E WUCKERT (MD)'s listing highlights Warren, Michigan; more addresses can appear in NPPES.
Why does DR. KRISTEN E WUCKERT (MD) 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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