KATIE LYNN MOWERS (MD) – Pediatric Cardiology Physician, NPI 1609142959

KATIE LYNN MOWERS (MD) is a healthcare provider. based in Traverse city, Michigan. specializing in PEDIATRIC MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 2016010900 (MO). The NPI Number for KATIE LYNN MOWERS (MD) is 1609142959

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KATIE LYNN MOWERS (MD)
NPI
1609142959
Phone
(231) 935-6370
Address
1105 Sixth St
Enumeration Date
30 March 2012
Last Update Date
8 October 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6162525950
Graduation Year
2012 (14 years ago)
PAC ID
3274883608
Group Practice PAC ID
5597651836
Professional Enrollment ID
I20190827000623
Address ID
MI495199698WY2122XSWXX404

Contacts

Secure Messaging
kmowers88491@direct.hurleymc.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

1,204 PEDIATRIC MEDICINE in MI

Provider Addresses for KATIE LYNN MOWERS (MD)

  • 1105 Sixth St

    Traverse City, MI 496842345

    Phone: (231) 935-6370

    Type: Location

  • 300 E 1st St Ste 201

    Flint, MI 485021900

    Phone: (810) 262-9773

    Fax: (810) 262-7308

    Type: Location

  • 1500 E MEDICAL CENTER DR

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

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: 2019-08-27

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
I20190827000623IPediatric MedicineMITBD

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 49684)

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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: 5597651836View full group profile
NameSpecialtyState
Internal MedicineMI
-MI
Nurse PractitionerMI
Physician AssistantMI
Hospitalist, Internal MedicineMI
-MI
Family PracticeMI
Physician AssistantMI
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

How do payers reference KATIE LYNN MOWERS (MD)?
For KATIE LYNN MOWERS (MD), use NPI 1609142959 as the unique 10-digit identifier.
Is there an active status for KATIE LYNN MOWERS (MD)?
For scheduling context, KATIE LYNN MOWERS (MD) is shown as active in the registry.
What area of care is associated with KATIE LYNN MOWERS (MD)?
KATIE LYNN MOWERS (MD)'s record emphasizes Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
Is KATIE LYNN MOWERS (MD) associated with Traverse City?
Public fields place KATIE LYNN MOWERS (MD) around Traverse City, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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