KRISTEN MIX (DNP, AGACNP) – Acute Care Nurse Practitioner, NPI 1487256426

KRISTEN MIX (DNP, AGACNP) is a healthcare provider. based in Lake orion, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, AGACNP. They hold a License No. 4704285817 (MI). The NPI Number for KRISTEN MIX (DNP, AGACNP) is 1487256426

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN MIX (DNP, AGACNP)
NPI
1487256426
Phone
(248) 635-0962
Address
950 Sherry Dr
Enumeration Date
13 November 2020
Last Update Date
15 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5865735890
Graduation Year
2022 (4 years ago)
PAC ID
7113308305
Group Practice PAC ID
2860743309
Professional Enrollment ID
I20220719003025
Address ID
MI480934505WA27560RDXX300
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

8,161 NURSE PRACTITIONER in MI

Provider Addresses for KRISTEN MIX (DNP, AGACNP)

  • 950 Sherry Dr

    Lake Orion, MI 483622870

    Phone: (248) 635-0962

    Type: Location

  • 950 SHERRY DR

    LAKE ORION, MI 483622870

    Phone:

    Type: Mailing

  • 15855 19 MILE RD

    CLINTON TOWNSHIP, MI 480383504

    Phone: (586) 263-2300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-10-09 • Largest payer in this snapshot: INTERCEPT PHARMACEUTICALS, INC. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-07-19

PECOS data refreshed: 2026-06-15

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
I20220719003025INurse 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes14768$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4318$0
View full utilization report →

Insurance plans in this area (ZIP 48362)

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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: 2860743309View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerGA
Internal Medicine, Family PracticeMI
Internal MedicineMI
Nurse PractitionerMI
E N D O C R I N O L O G YMI
Gastroenterology, Internal MedicineMI
Pulmonary Disease, Internal MedicineMI
Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular DiseaseMI

Reviews

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Frequently asked questions

What is the standard ID for KRISTEN MIX (DNP, AGACNP) in the U.S.?
In the U.S., KRISTEN MIX (DNP, AGACNP) is identified by NPI 1487256426.
Does the public listing show KRISTEN MIX (DNP, AGACNP) as active?
KRISTEN MIX (DNP, AGACNP)'s NPI record reflects an active status in NPPES.
What type of care does KRISTEN MIX (DNP, AGACNP) provide?
KRISTEN MIX (DNP, AGACNP)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KRISTEN MIX (DNP, AGACNP)?
KRISTEN MIX (DNP, AGACNP) is associated with Lake Orion, Michigan in the same public data insurers reference.
Who maintains KRISTEN MIX (DNP, AGACNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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