MS. KRISTA CALLIE MCNAMARA (PA-C) – Physician Assistant, NPI 1407386568

MS. KRISTA CALLIE MCNAMARA (PA-C) is a healthcare provider. based in Grayling, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601008216 (MI). The NPI Number for MS. KRISTA CALLIE MCNAMARA (PA-C) is 1407386568

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. KRISTA CALLIE MCNAMARA (PA-C)
NPI
1407386568
Phone
(989) 348-5461
Address
1100 E Michigan Ave
Enumeration Date
12 June 2017
Last Update Date
21 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9894225122
Graduation Year
2017 (9 years ago)
PAC ID
4981974169
Group Practice PAC ID
7911800495
Professional Enrollment ID
I20170720001601
Address ID
MI486539393RO299XXDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MS. KRISTA CALLIE MCNAMARA (PA-C)

  • 1100 E Michigan Ave

    Grayling, MI 497381312

    Phone: (989) 348-5461

    Type: Location

  • MidMichigan Health Park, 9249, West Lake City Road, Houghton Lake, Roscommon Township, Roscommon County, Michigan, 48629, United States

    HOUGHTON LAKE, MI 486299602

    Phone: (989) 422-5122

    Fax: (989) 422-4378

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $536.

Total Amount is formed as General ($536) + Research ($0) + Ownership ($0) = $536.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($155).

Total Amount

$536

General + Research + Ownership

Payments

31

Total payment records

General Amount

$536

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2017-07-20

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
I20170720001601IPhysician 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 49738)

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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: 7911800495View full group profile

Reviews

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Frequently asked questions

How do payers reference MS. KRISTA CALLIE MCNAMARA (PA-C)?
For MS. KRISTA CALLIE MCNAMARA (PA-C), use NPI 1407386568 as the unique 10-digit identifier.
Would MS. KRISTA CALLIE MCNAMARA (PA-C) appear as active to a payer?
You can treat MS. KRISTA CALLIE MCNAMARA (PA-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MS. KRISTA CALLIE MCNAMARA (PA-C)?
At a glance, MS. KRISTA CALLIE MCNAMARA (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Michigan is MS. KRISTA CALLIE MCNAMARA (PA-C) registered?
Use Grayling, Michigan as the headline location for MS. KRISTA CALLIE MCNAMARA (PA-C) here.
Can I trust this NPI listing for MS. KRISTA CALLIE MCNAMARA (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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