KRISTINA KAY MASTERS (PAC) – Physician Assistant, NPI 1699712612

KRISTINA KAY MASTERS (PAC) is a healthcare provider. based in Ann arbor, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 5301004309 (MI). The NPI Number for KRISTINA KAY MASTERS (PAC) is 1699712612

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA KAY MASTERS (PAC)
NPI
1699712612
Phone
(734) 936-2047
Address
3621 S STATE ST
Enumeration Date
31 May 2006
Last Update Date
21 October 2009

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
5175456000
Graduation Year
2004 (22 years ago)
PAC ID
7719983998
Group Practice PAC ID
8628964525
Professional Enrollment ID
I20061011000305
Address ID
MI488431002HO620XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for KRISTINA KAY MASTERS (PAC)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY

    ANN ARBOR, MI 481095301

    Phone: (734) 936-6666

    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: 2006-10-11

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
I20061011000305IPhysician 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
99285Emergency department visit with high level of medical decision making8179$0
99284Emergency department visit with moderate level of medical decision making6968$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3231$0
99283Emergency department visit with low level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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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: 8628964525View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Nurse PractitionerMI
Physician AssistantCT
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-NC
Physician AssistantMI

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Frequently asked questions

Where can patients find KRISTINA KAY MASTERS (PAC)'s NPI?
You can confirm KRISTINA KAY MASTERS (PAC) with NPI 1699712612; it appears in the national provider directory.
Is KRISTINA KAY MASTERS (PAC)'s NPI currently valid?
The extract we use shows KRISTINA KAY MASTERS (PAC) as active.
What kind of provider is KRISTINA KAY MASTERS (PAC)?
The page reflects Physician Assistant for KRISTINA KAY MASTERS (PAC). Clinical services aligned with this taxonomy classification.
What location metadata exists for KRISTINA KAY MASTERS (PAC)?
The page summarizes Ann Arbor, Michigan for KRISTINA KAY MASTERS (PAC); expand the address list for detail.
What if Ann Arbor, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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