KERRI LYN PIERCE (PA-C) – Physician Assistant, NPI 1699163196

KERRI LYN PIERCE (PA-C) is a healthcare provider. based in Newaygo, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601007221 (MI). The NPI Number for KERRI LYN PIERCE (PA-C) is 1699163196

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KERRI LYN PIERCE (PA-C)
NPI
1699163196
Phone
Not provided
Address
8589 PINE POINT DR
Enumeration Date
6 January 2015
Last Update Date
28 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2014 (12 years ago)
PAC ID
7113241357
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20150119000368
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
kdriesenga283554@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for KERRI LYN PIERCE (PA-C)

  • 8589 PINE POINT DR

    NEWAYGO, MI 493379207

    Phone:

    Type: Mailing

  • 3380 44TH ST SW

    GRANDVILLE, MI 494182461

    Phone: (616) 685-8250

    Type: Location

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 2111 12 MILE RD NW

    SPARTA, MI 493459754

    Phone: (616) 391-8470

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $389.

Total Amount is formed as General ($389) + Research ($0) + Ownership ($0) = $389.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Lilly USA, LLC ($156).

Total Amount

$389

General + Research + Ownership

Payments

12

Total payment records

General Amount

$389

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2015-01-19

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
I20150119000368IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5446$0
99213Established patient office or other outpatient visit, 20-29 minutes4640$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1311$0
View full utilization report →

Insurance plans in this area (ZIP 49337)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I use this page to confirm KERRI LYN PIERCE (PA-C)'s NPI?
Yes. KERRI LYN PIERCE (PA-C) is listed with NPI 1699163196 in the public NPI dataset.
Does the file indicate KERRI LYN PIERCE (PA-C) is practicing under active NPI?
Directory data currently reports KERRI LYN PIERCE (PA-C) as active.
What healthcare role does KERRI LYN PIERCE (PA-C) hold?
Scheduling teams often label KERRI LYN PIERCE (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for KERRI LYN PIERCE (PA-C)?
KERRI LYN PIERCE (PA-C)'s geographic hint is Newaygo, Michigan in our summary view.
Why does KERRI LYN PIERCE (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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