MISS KELLY PHUONG DOAN (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1477154599
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for MISS KELLY PHUONG DOAN (NURSE PRACTITIONER)
33021 GARFIELD RD
FRASER, MI 480261800
Phone: (586) 293-5012
Type: Location
27327 23 MILE RD
CHESTERFIELD, MI 480512045
Phone: (903) 276-2916
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $526.
Total Amount is formed as General ($526) + Research ($0) + Ownership ($0) = $526.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Medtronic, Inc. ($122).
Total Amount
$526
General + Research + Ownership
Payments
9
Total payment records
General Amount
$526
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-09-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210708001154 | I | Nurse Practitioner | MI | TBD |
| I20250925003175 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 177 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 82 | 59 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 25 | 25 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 19 | 19 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 18 | 15 | $0 |
Insurance plans in this area (ZIP 48026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Physician Assistant | MI |
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