KRISTEN J FITZPATRICK (PA-C) – Physician Assistant, NPI 1487844239
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KRISTEN J FITZPATRICK (PA-C)
1350 W Huron St
Waterford, MI 483283641
Phone: (248) 682-9611
Type: Location
42796, Lilley Pointe Drive, Canton, Wayne County, Michigan, 48187, United States
CANTON, MI 481875324
Phone: (260) 615-2970
Type: Mailing
32669, Warren Road, Garden City, Wayne County, Michigan, 48135, United States
GARDEN CITY, MI 481351677
Phone: (734) 762-0798
Fax: (734) 762-6682
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 85 Open Payments records for all available years, with a total value of $2,162.
Total Amount is formed as General ($2,162) + Research ($0) + Ownership ($0) = $2,162.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($586).
Total Amount
$2,162
General + Research + Ownership
Payments
85
Total payment records
General Amount
$2,162
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $586 |
| UCB, Inc. | $327 |
| Novartis Pharmaceuticals Corporation | $163 |
| REVANCE THERAPEUTICS, INC. | $143 |
| Janssen Biotech, Inc. | $111 |
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: 2016-03-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160301002408 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 167 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 48 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 55 | 27 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 47 | 25 | $0 |
| 11901 | Injection into skin growth, more than 7 growths | 43 | 24 | $0 |
Insurance plans in this area (ZIP 48328)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 17003 | Destruction of 2-14 skin growths | 356 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI |
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