KRISTINA MCKIBBIN (FNP-BC) – Nurse Practitioner, NPI 1609692151

KRISTINA MCKIBBIN (FNP-BC) is a healthcare provider. based in Camden, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704241925 (MI). The NPI Number for KRISTINA MCKIBBIN (FNP-BC) is 1609692151

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA MCKIBBIN (FNP-BC)
NPI
1609692151
Phone
(517) 932-8705
Address
2261 E BURT RD
Enumeration Date
2 December 2024
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6154993165
Graduation Year
2024 (2 years ago)
PAC ID
7618498866
Group Practice PAC ID
0345779369
Professional Enrollment ID
I20250305000669
Address ID
MI483751022NO26090RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for KRISTINA MCKIBBIN (FNP-BC)

  • 2261 E BURT RD

    CAMDEN, MI 492329793

    Phone: (517) 932-8705

    Type: Mailing

  • 40600 ANN ARBOR RD E

    PLYMOUTH, MI 481704675

    Phone: (248) 266-1521

    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: 2025-03-05

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
I20250305000669INurse 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.

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

Insurance plans in this area (ZIP 49232)

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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: 0345779369View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Is there an official ID for KRISTINA MCKIBBIN (FNP-BC) in U.S. healthcare records?
The official identifier for KRISTINA MCKIBBIN (FNP-BC) is NPI 1609692151.
Would KRISTINA MCKIBBIN (FNP-BC) appear as active to a payer?
You can treat KRISTINA MCKIBBIN (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KRISTINA MCKIBBIN (FNP-BC)?
At a glance, KRISTINA MCKIBBIN (FNP-BC) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KRISTINA MCKIBBIN (FNP-BC) located near Camden?
KRISTINA MCKIBBIN (FNP-BC) currently maps to Camden, Michigan in this extract.
Can I trust this NPI listing for KRISTINA MCKIBBIN (FNP-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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