KATHLEEN A FLANNERY (PA) – Medical Physician Assistant, NPI 1528013489

KATHLEEN A FLANNERY (PA) is a healthcare provider. based in East lansing, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601003216 (MI). The NPI Number for KATHLEEN A FLANNERY (PA) is 1528013489

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN A FLANNERY (PA)
NPI
1528013489
Phone
(517) 884-2976
Address
804 SERVICE RD
Enumeration Date
22 May 2006
Last Update Date
9 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173943200
Graduation Year
1999 (27 years ago)
PAC ID
3173535499
Group Practice PAC ID
6709799166
Professional Enrollment ID
I20060630000256
Address ID
MI489108595LA3394XAXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for KATHLEEN A FLANNERY (PA)

  • 804, Service Road, East Lansing, Ingham County, Michigan, 48824, United States

    A201

    EAST LANSING, MI 488247015

    Phone: (517) 884-2976

    Fax: (517) 432-3928

    Type: Mailing

  • Norton Eye Care, 4660, South Hagadorn Road, Okemos, Meridian Charter Township, Ingham County, Michigan, 48823, United States

    #500

    EAST LANSING, MI 488235376

    Phone: (517) 884-4554

    Fax: (517) 884-4556

    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 $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: ACUMED LLC ($84).

Total Amount

$84

General + Research + Ownership

Payments

1

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ACUMED LLC$84
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: 2006-06-30

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
I20060630000256IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes2424$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 48824)

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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: 6709799166View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Family PracticeMI
-MI
P A T H O L O G YIL
Nurse PractitionerMI
Vascular Surgery, General SurgeryMI
Nurse PractitionerMI
Internal MedicineMI
Family PracticeMI

Reviews

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Frequently asked questions

What number should I use to identify KATHLEEN A FLANNERY (PA) for billing?
Administrative and clinical systems typically use NPI 1528013489 for KATHLEEN A FLANNERY (PA).
Is KATHLEEN A FLANNERY (PA) currently accepting referrals based on NPI status?
Registry metadata lists KATHLEEN A FLANNERY (PA) as active.
Which specialty label fits KATHLEEN A FLANNERY (PA)?
NPPES ties KATHLEEN A FLANNERY (PA) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KATHLEEN A FLANNERY (PA)?
KATHLEEN A FLANNERY (PA) shows a connection to East Lansing, Michigan in registry-derived data.
Why is information missing for KATHLEEN A FLANNERY (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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