KALA ANN POZIVILKO (PMHNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1669042990
Psychiatric/Mental Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for KALA ANN POZIVILKO (PMHNP-C)
175 N Groesbeck Hwy
Mount Clemens, MI 480431562
Phone: (616) 301-8000
Type: Location
790 FULLER AVE NE
GRAND RAPIDS, MI 495031918
Phone: (616) 336-3909
Fax: (616) 336-8830
Type: Mailing
764 CONGRESS ST APT 1
PORTLAND, ME 041023354
Phone: (616) 301-4372
Type: Mailing
474 MAIN ST
SPRINGVALE, ME 040831409
Phone: (207) 282-1500
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 $253.
Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Alkermes, Inc. ($163).
Total Amount
$253
General + Research + Ownership
Payments
8
Total payment records
General Amount
$253
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
| Company | Amount |
|---|---|
| Alkermes, Inc. | $163 |
| Lundbeck LLC | $52 |
| Janssen Pharmaceuticals, Inc | $22 |
| Noven Therapeutics, LLC | $15 |
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: 2023-07-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230712003074 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 197 | 53 | $0 |
Insurance plans in this area (ZIP 48043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MI | |
| Occupational Therapist In Private Practice | MI | |
| Mental Health Counselor | MI | |
| Mental Health Counselor | MI | |
| Physical Therapist In Private Practice | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | WY | |
| Clinical Psychologist | MI |
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