KAITLYN BLANKENBERGER (PA) – Physician Assistant, NPI 1295448793
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for KAITLYN BLANKENBERGER (PA)
168 S Howell St
Hillsdale, MI 492422081
Phone: (517) 437-4451
Type: Location
5523 BAYWATER DR
NEWBURGH, IN 476307316
Phone:
Type: Mailing
451 HIDDEN MEADOWS DR STE 260
HILLSDALE, MI 492429812
Phone: (517) 437-5350
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $235.
Total Amount is formed as General ($235) + Research ($0) + Ownership ($0) = $235.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Ethicon US, LLC ($76).
Total Amount
$235
General + Research + Ownership
Payments
11
Total payment records
General Amount
$235
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $76 |
| Heron Therapeutics, Inc. | $42 |
| MIMEDX Group, Inc. | $32 |
| Medtronic, Inc. | $20 |
| ABBVIE INC. | $18 |
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: 2023-02-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230206001965 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 11 | $0 |
Insurance plans in this area (ZIP 49242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Diagnostic Radiology | FL | |
| Nurse Practitioner | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
Reviews
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