KATHY KISE (CNM) – Advanced Practice Midwife, NPI 1568515377

KATHY KISE (CNM) is a healthcare provider. based in Ann arbor, Michigan. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 4704168768 (MI). The NPI Number for KATHY KISE (CNM) is 1568515377

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
KATHY KISE (CNM)
NPI
1568515377
Phone
(734) 747-6766
Address
24 Frank Lloyd Wright Dr
Enumeration Date
18 January 2007
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7343987888
Graduation Year
1993 (33 years ago)
PAC ID
3072412998
Group Practice PAC ID
2466351440
Professional Enrollment ID
I20160407000703
Address ID
MI481874860CA49650RDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

206 CERTIFIED NURSE MIDWIFE (CNM) in MI

Provider Addresses for KATHY KISE (CNM)

  • 24 Frank Lloyd Wright Dr

    Lobby J

    Ann Arbor, MI 481059484

    Phone: (734) 747-6766

    Fax: (734) 222-3100

    Type: Location

  • PO BOX 446

    ANN ARBOR, MI 481060446

    Phone: (734) 747-6766

    Fax: (734) 222-3100

    Type: Mailing

  • Cherry Hill Road, Cherry Hill, Canton, Wayne County, Michigan, 48105:48187, United States

    CANTON, MI 481874860

    Phone: (734) 398-7888

    Fax: (734) 398-7885

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-04-07

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
I20160407000703ICertified Nurse Midwife (Cnm)MITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48105)

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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: 2466351440View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMI
Interventional RadiologyMI
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Physician AssistantMI
-MI
-MI
Internal Medicine, Geriatric MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Hospitalist, Internal MedicineMI

Reviews

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Frequently asked questions

How do payers reference KATHY KISE (CNM)?
For KATHY KISE (CNM), use NPI 1568515377 as the unique 10-digit identifier.
Active or inactive — what applies to KATHY KISE (CNM)?
You should see KATHY KISE (CNM) as active in CMS-hosted NPPES data.
What area of care is associated with KATHY KISE (CNM)?
KATHY KISE (CNM)'s record emphasizes Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Where in Michigan is KATHY KISE (CNM) registered?
Use Ann Arbor, Michigan as the headline location for KATHY KISE (CNM) here.
Does KATHY KISE (CNM) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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