KRYSTLE GISH (DO) – Family Medicine Physician, NPI 1669096335

KRYSTLE GISH (DO) is a healthcare provider. based in Farmington hills, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5151014419 (MI). The NPI Number for KRYSTLE GISH (DO) is 1669096335

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTLE GISH (DO)
NPI
1669096335
Phone
Not provided
Address
28050 GRAND RIVER AVE
Enumeration Date
29 May 2020
Last Update Date
1 August 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
6002261260
Group Practice PAC ID
2668704875
Professional Enrollment ID
I20231009003076
Address ID
FL342052550BR3303XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for KRYSTLE GISH (DO)

  • 28050 GRAND RIVER AVE

    FARMINGTON HILLS, MI 483365919

    Phone:

    Type: Mailing

  • 3303 MANATEE AVE W UNIT A

    BRADENTON, FL 342052550

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 101 Open Payments records for all available years, with a total value of $2,021.

Total Amount is formed as General ($2,021) + Research ($0) + Ownership ($0) = $2,021.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($277).

Total Amount

$2,021

General + Research + Ownership

Payments

101

Total payment records

General Amount

$2,021

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2023-10-09

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
I20231009003076IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3022$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 48336)

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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: 2668704875View full group profile
NameSpecialtyState
Family Practice, Osteopathic Manipulative MedicineFL
Family Practice, Geriatric MedicineFL
Internal MedicineFL
Family PracticePA
Internal MedicineFL

Reviews

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Frequently asked questions

Can I verify KRYSTLE GISH (DO) with an NPI only?
You can start verification with NPI 1669096335 for KRYSTLE GISH (DO), then check state licensing separately.
Is KRYSTLE GISH (DO) listed as active for patients and plans?
The listing shows KRYSTLE GISH (DO) as active in the NPI system.
What is KRYSTLE GISH (DO)'s specialty?
The listing groups KRYSTLE GISH (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is KRYSTLE GISH (DO) based?
KRYSTLE GISH (DO) is tied to Farmington Hills, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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