KATIE A SWEENEY (NP) – Nurse Practitioner, NPI 1609416171

KATIE A SWEENEY (NP) is a healthcare provider. based in Bad axe, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704313736 (MI). The NPI Number for KATIE A SWEENEY (NP) is 1609416171

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KATIE A SWEENEY (NP)
NPI
1609416171
Phone
(989) 269-5786
Address
1100 S VAN DYKE RD
Enumeration Date
13 January 2020
Last Update Date
3 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884843258
Graduation Year
2017 (9 years ago)
PAC ID
9830527696
Group Practice PAC ID
9638617913
Professional Enrollment ID
I20220617001605
Address ID
IN462021239IN1701XBLVD400

Contacts

Secure Messaging
klange@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for KATIE A SWEENEY (NP)

  • 1100 S VAN DYKE RD

    BAD AXE, MI 484139615

    Phone: (989) 269-5786

    Fax: (989) 269-5259

    Type: Mailing

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 1030 W MICHIGAN ST

    INDIANAPOLIS, IN 462025201

    Phone: (317) 944-0920

    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: 2022-06-17

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
I20220617001605INurse PractitionerINTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes3934$0
38222Biopsy and aspiration of bone marrow sample for diagnosis2623$0
View full utilization report →

Insurance plans in this area (ZIP 48413)

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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: 9638617913View full group profile
NameSpecialtyState
Pediatric MedicineNC
U R O L O G YIN
Diagnostic Radiology, Interventional RadiologyNY
Nurse PractitionerIN
P A T H O L O G YIN
O T O L A R Y N G O L O G YIN
E N D O C R I N O L O G YIN
Family Practice, Sports MedicineIN
Gastroenterology, Internal MedicineIN
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

What is the standard ID for KATIE A SWEENEY (NP) in the U.S.?
In the U.S., KATIE A SWEENEY (NP) is identified by NPI 1609416171.
Should I treat KATIE A SWEENEY (NP) as an active provider?
Patients and plans typically see KATIE A SWEENEY (NP) as active in the national extract.
What services align with KATIE A SWEENEY (NP)'s listing?
KATIE A SWEENEY (NP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATIE A SWEENEY (NP)?
KATIE A SWEENEY (NP) is associated with Bad Axe, Michigan in the same public data insurers reference.
Can I export KATIE A SWEENEY (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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