KRISTEN NICOLE CARRILLO-KAPPUS (MD, MPH) – Obstetrics & Gynecology Physician, NPI 1639707896
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,739 OBSTETRICS/GYNECOLOGY in MI
Provider Addresses for KRISTEN NICOLE CARRILLO-KAPPUS (MD, MPH)
2790 HEALTH PKWY
MOUNT PLEASANT, MI 488586934
Phone: (989) 779-5642
Type: Mailing
1201 SOUTH DR STE 220
MOUNT PLEASANT, MI 488583255
Phone: (989) 773-3411
Fax: (989) 546-8557
Type: Location
2301 ERWIN RD
DURHAM, NC 277054699
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $118.
Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Biogen, Inc. ($25).
Total Amount
$118
General + Research + Ownership
Payments
6
Total payment records
General Amount
$118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biogen, Inc. | $25 |
| Astellas Pharma US Inc | $21 |
| SHIELD THERAPEUTICS INC | $21 |
| Organon LLC | $18 |
| Bayer Healthcare Pharmaceuticals Inc. | $17 |
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: 2024-08-14
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240814001837 | I | Obstetrics/Gynecology | MI | TBD |
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.
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 48858)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Family Practice | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Family Practice | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Family Practice | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI | |
| Family Practice | MI |
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