MICHAEL WARREN VICTOR – Psychiatric/Mental Health Nurse Practitioner, NPI 1508504986

MICHAEL WARREN VICTOR is a healthcare provider. based in Flint, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704324662 (MI). The NPI Number for MICHAEL WARREN VICTOR is 1508504986

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL WARREN VICTOR
NPI
1508504986
Phone
(616) 301-8000
Address
1110 Eldon Baker Dr
Enumeration Date
25 May 2022
Last Update Date
16 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5866270024
Graduation Year
2022 (4 years ago)
PAC ID
2264812692
Group Practice PAC ID
6608864350
Professional Enrollment ID
I20220701001821
Address ID
MI480431562MO175XXHWYX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:4State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MICHAEL WARREN VICTOR

  • 1110 Eldon Baker Dr

    Flint, MI 485071923

    Phone: (616) 301-8000

    Type: Location

  • 1110 ELDON BAKER DR

    FLINT, MI 485071923

    Phone: (616) 301-8000

    Type: Mailing

  • G3169 BEECHER RD

    FLINT, MI 485323611

    Phone: (616) 301-8000

    Fax: (810) 744-1306

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,387.

Total Amount is formed as General ($1,387) + Research ($0) + Ownership ($0) = $1,387.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alkermes, Inc. ($418).

Total Amount

$1,387

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,387

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2022-07-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220701001821INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes10244$0
96372Injection of drug or substance under skin or into muscle6612$0
99442Telephone medical discussion with physician, 11-20 minutes3120$0
View full utilization report →

Insurance plans in this area (ZIP 48507)

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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: 6608864350View full group profile

Reviews

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Frequently asked questions

Does MICHAEL WARREN VICTOR share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL WARREN VICTOR uses 1508504986.
Can I rely on MICHAEL WARREN VICTOR being an active provider?
As of the registry snapshot, MICHAEL WARREN VICTOR is marked active.
What is MICHAEL WARREN VICTOR's primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for MICHAEL WARREN VICTOR here. Clinical services aligned with this taxonomy classification.
Where is MICHAEL WARREN VICTOR based?
MICHAEL WARREN VICTOR is tied to Flint, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about MICHAEL WARREN VICTOR up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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