MRS. KATHY LYNN BASHAWATY (MSN, FNP-BC) – Family Nurse Practitioner, NPI 1386935955

MRS. KATHY LYNN BASHAWATY (MSN, FNP-BC) is a healthcare provider. based in Southfield, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, FNP-BC. They hold a License No. 4704190275 (MI). The NPI Number for MRS. KATHY LYNN BASHAWATY (MSN, FNP-BC) is 1386935955

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHY LYNN BASHAWATY (MSN, FNP-BC)
NPI
1386935955
Phone
(248) 642-8989
Address
18161 W 13 MILE RD
Enumeration Date
29 April 2011
Last Update Date
19 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3139162600
Graduation Year
2000 (26 years ago)
PAC ID
4789902594
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20150407001682
Address ID
MI482022608DE2799XBLVD400

Contacts

Secure Messaging
kbashawathy411861@direct.hfhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MRS. KATHY LYNN BASHAWATY (MSN, FNP-BC)

  • 18161 W 13 MILE RD

    SUITE E1

    SOUTHFIELD, MI 480761113

    Phone: (248) 642-8989

    Type: Location

  • 1407 VINSETTA BLVD

    ROYAL OAK, MI 480671028

    Phone: (248) 439-0209

    Type: Mailing

  • 6777 W MAPLE RD

    WEST BLOOMFIELD, MI 483223013

    Phone: (248) 325-1000

    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: 2015-04-07

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
I20150407001682INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7245$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3125$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 48076)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

How do payers reference MRS. KATHY LYNN BASHAWATY (MSN, FNP-BC)?
For MRS. KATHY LYNN BASHAWATY (MSN, FNP-BC), use NPI 1386935955 as the unique 10-digit identifier.
Is there an active status for MRS. KATHY LYNN BASHAWATY (MSN, FNP-BC)?
For scheduling context, MRS. KATHY LYNN BASHAWATY (MSN, FNP-BC) is shown as active in the registry.
What clinical focus is listed for MRS. KATHY LYNN BASHAWATY (MSN, FNP-BC)?
At a glance, MRS. KATHY LYNN BASHAWATY (MSN, FNP-BC) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. KATHY LYNN BASHAWATY (MSN, FNP-BC) located near Southfield?
MRS. KATHY LYNN BASHAWATY (MSN, FNP-BC) currently maps to Southfield, 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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