KATE LYNETTE CVETKOVSKI – Physician Assistant, NPI 1336755156

KATE LYNETTE CVETKOVSKI is a healthcare provider. based in Shelby twp, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601010221 (MI). The NPI Number for KATE LYNETTE CVETKOVSKI is 1336755156

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KATE LYNETTE CVETKOVSKI
NPI
1336755156
Phone
(248) 495-2154
Address
55772 WOODRIDGE DR
Enumeration Date
17 September 2020
Last Update Date
17 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483385000
Graduation Year
2020 (6 years ago)
PAC ID
8022409010
Group Practice PAC ID
2365968351
Professional Enrollment ID
I20211230000716
Address ID
MI483422217PO50XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for KATE LYNETTE CVETKOVSKI

  • 55772 WOODRIDGE DR

    SHELBY TWP, MI 483161037

    Phone: (248) 495-2154

    Type: Mailing

  • 4050 W MAPLE RD

    BLOOMFIELD HILLS, MI 483013148

    Phone: (248) 885-8211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-12-30

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
I20211230000716IPhysician AssistantMITBD

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
99285Emergency department visit with high level of medical decision making4545$0
99284Emergency department visit with moderate level of medical decision making3535$0
View full utilization report →

Insurance plans in this area (ZIP 48316)

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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: 2365968351View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Internal MedicineMI
Internal MedicineMI
Physician AssistantMI
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
Diagnostic RadiologyMI
Radiation Oncology, Diagnostic RadiologyMI

Reviews

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Frequently asked questions

What is the standard ID for KATE LYNETTE CVETKOVSKI in the U.S.?
In the U.S., KATE LYNETTE CVETKOVSKI is identified by NPI 1336755156.
Is KATE LYNETTE CVETKOVSKI currently accepting referrals based on NPI status?
Registry metadata lists KATE LYNETTE CVETKOVSKI as active.
How should patients interpret KATE LYNETTE CVETKOVSKI's specialty?
The extract shows Physician Assistant for KATE LYNETTE CVETKOVSKI. Clinical services aligned with this taxonomy classification.
Is KATE LYNETTE CVETKOVSKI tied to Shelby Twp, Michigan?
If you are local to Shelby Twp, Michigan, KATE LYNETTE CVETKOVSKI may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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