CHRISTI N LIETZAU (ACNP-BC) – Acute Care Nurse Practitioner, NPI 1285932509

CHRISTI N LIETZAU (ACNP-BC) is a healthcare provider. based in Kalamazoo, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP-BC. They hold a License No. 4704248537 (MI). The NPI Number for CHRISTI N LIETZAU (ACNP-BC) is 1285932509

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTI N LIETZAU (ACNP-BC)
NPI
1285932509
Phone
(269) 341-7333
Address
601 JOHN ST
Enumeration Date
10 March 2011
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693417333
Graduation Year
2008 (18 years ago)
PAC ID
3577735968
Group Practice PAC ID
0244148633
Professional Enrollment ID
I20111006000685
Address ID
MI490075355KA601XXSTXX306
Telehealth
Yes

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness95
Years active:15State licenses:1Other names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for CHRISTI N LIETZAU (ACNP-BC)

  • 601 JOHN ST

    BOX 42

    KALAMAZOO, MI 490075341

    Phone: (269) 341-7333

    Fax: (269) 341-7371

    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 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($17).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

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: 2011-10-06

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
I20111006000685INurse PractitionerMITBD

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 49007)

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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: 0244148633View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Hand Surgery, Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Endocrinology, Internal MedicineMI
Clinical Social WorkerMI
Internal MedicineMI

Reviews

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Frequently asked questions

Can I verify CHRISTI N LIETZAU (ACNP-BC) with an NPI only?
You can start verification with NPI 1285932509 for CHRISTI N LIETZAU (ACNP-BC), then check state licensing separately.
Does the file indicate CHRISTI N LIETZAU (ACNP-BC) is practicing under active NPI?
Directory data currently reports CHRISTI N LIETZAU (ACNP-BC) as active.
What taxonomy line describes CHRISTI N LIETZAU (ACNP-BC)?
For research purposes, treat CHRISTI N LIETZAU (ACNP-BC) as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CHRISTI N LIETZAU (ACNP-BC) on a map?
Expect Kalamazoo, Michigan as a primary anchor for CHRISTI N LIETZAU (ACNP-BC) unless the record lists multiple sites.
Is the information about CHRISTI N LIETZAU (ACNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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