CHASE KRUEGER – Medical Physician Assistant, NPI 1356167845

CHASE KRUEGER is a healthcare provider. based in Jenison, Michigan. specializing in PHYSICIAN ASSISTANT. The NPI Number for CHASE KRUEGER is 1356167845

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
CHASE KRUEGER
NPI
1356167845
Phone
(616) 920-4650
Address
2914 GREEN MEADOW DR APT 5
Enumeration Date
29 November 2024
Last Update Date
29 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6166962020
Graduation Year
2024 (2 years ago)
PAC ID
9739616749
Group Practice PAC ID
4082653423
Professional Enrollment ID
I20250102001294
Address ID
MI493198041CE261XXMAIN300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for CHASE KRUEGER

  • 2914 GREEN MEADOW DR APT 5

    JENISON, MI 494289578

    Phone: (616) 920-4650

    Type: Mailing

  • 261 N MAIN

    CEDAR SPRINGS, MI 493198041

    Phone: (616) 920-4650

    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: 2025-01-02

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
I20250102001294IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49428)

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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: 4082653423View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I cross-check CHASE KRUEGER using NPI 1356167845?
NPI 1356167845 belongs to CHASE KRUEGER; compare other details if you need extra assurance.
Would CHASE KRUEGER appear as active to a payer?
You can treat CHASE KRUEGER as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to CHASE KRUEGER?
CHASE KRUEGER's specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is CHASE KRUEGER located near Jenison?
CHASE KRUEGER currently maps to Jenison, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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