KRISTEN SINCLAIR (NP) – Nurse Practitioner, NPI 1669209904

KRISTEN SINCLAIR (NP) is a healthcare provider. based in Redford, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209030598 (IL). The NPI Number for KRISTEN SINCLAIR (NP) is 1669209904

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN SINCLAIR (NP)
NPI
1669209904
Phone
(313) 948-3055
Address
14671 TELEGRAPH RD
Enumeration Date
19 September 2024
Last Update Date
19 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6187097723
Graduation Year
2023 (3 years ago)
PAC ID
6103357520
Group Practice PAC ID
1951658285
Professional Enrollment ID
I20241009000937
Address ID
IL620403614GR2861XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for KRISTEN SINCLAIR (NP)

  • 14671 TELEGRAPH RD

    REDFORD, MI 482393300

    Phone: (313) 948-3055

    Type: Mailing

  • 2861 MADISON AVE

    GRANITE CITY, IL 620403614

    Phone: (313) 948-3055

    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: 2024-10-09

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
I20241009000937INurse PractitionerILTBD

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 48239)

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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: 1951658285View full group profile
NameSpecialtyState
Nurse PractitionerFL
Internal Medicine, HospitalistMO
-MO

Reviews

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Frequently asked questions

How do I look up KRISTEN SINCLAIR (NP) by NPI?
Use NPI 1669209904 when you need to reference KRISTEN SINCLAIR (NP) in forms, claims, or directories.
Is KRISTEN SINCLAIR (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KRISTEN SINCLAIR (NP)?
The page reflects Nurse Practitioner for KRISTEN SINCLAIR (NP). Clinical services aligned with this taxonomy classification.
Does KRISTEN SINCLAIR (NP) practice in Michigan?
You will see Redford, Michigan on file for KRISTEN SINCLAIR (NP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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