MRS. KELLY LYNN BRIZENDINE (PAC) – Physician Assistant, NPI 1285714725
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KELLY LYNN BRIZENDINE (PAC)
3200 W Centre Ave Ste 203
Portage, MI 490244889
Phone: (269) 324-0799
Type: Location
2845, Capital Avenue Southwest, Morgan Corners, Battle Creek, Leroy Township, Calhoun County, Michigan, 49015, United States
SUITE 201
BATTLE CREEK, MI 490154185
Phone: (269) 969-6177
Fax: (269) 969-8776
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $519.
Total Amount is formed as General ($519) + Research ($0) + Ownership ($0) = $519.
Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($152).
Total Amount
$519
General + Research + Ownership
Payments
23
Total payment records
General Amount
$519
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-12-20
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 |
|---|---|---|---|---|
| I20051220000556 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 151 | 84 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 48 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 18 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 49024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| - | MI | |
| - | IN | |
| Gastroenterology, Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| N E U R O L O G Y | MI | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | MI | |
| Family Practice | MI | |
| N E U R O L O G Y | GA |
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