KRISTINA NADA DABISH (PA-C) – Physician Assistant, NPI 1659787182

KRISTINA NADA DABISH (PA-C) is a healthcare provider. based in Flushing, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601007024 (MI). The NPI Number for KRISTINA NADA DABISH (PA-C) is 1659787182

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA NADA DABISH (PA-C)
NPI
1659787182
Phone
(810) 720-1200
Address
6020 W PIERSON RD
Enumeration Date
3 July 2014
Last Update Date
5 January 2015

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2482063797
Graduation Year
2014 (12 years ago)
PAC ID
7012137888
Group Practice PAC ID
1052670882
Professional Enrollment ID
I20140929001649
Address ID
MI480712531MA350XXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for KRISTINA NADA DABISH (PA-C)

  • 6020 W PIERSON RD

    FLUSHING, MI 484332335

    Phone: (810) 720-1200

    Type: Mailing

  • 259 MACK AVE

    2590

    DETROIT, MI 482012427

    Phone: (313) 577-1368

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Boston Scientific Corporation ($122).

Total Amount

$122

General + Research + Ownership

Payments

8

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-09-29

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
I20140929001649IPhysician AssistantMITBD

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 48433)

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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: 1052670882View full group profile
NameSpecialtyState
Physician AssistantMI
General Practice, Internal MedicineMI
General PracticeMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
N E U R O L O G YMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

How do I look up KRISTINA NADA DABISH (PA-C) by NPI?
Use NPI 1659787182 when you need to reference KRISTINA NADA DABISH (PA-C) in forms, claims, or directories.
Is KRISTINA NADA DABISH (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KRISTINA NADA DABISH (PA-C) work in?
You can think of KRISTINA NADA DABISH (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place KRISTINA NADA DABISH (PA-C)?
The snapshot lists Flushing, Michigan for KRISTINA NADA DABISH (PA-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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