KAITLIN DEMAAGD (NP) – Nurse Practitioner, NPI 1710404587

KAITLIN DEMAAGD (NP) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704294009 (MI). The NPI Number for KAITLIN DEMAAGD (NP) is 1710404587

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KAITLIN DEMAAGD (NP)
NPI
1710404587
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
23 August 2017
Last Update Date
7 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2017 (9 years ago)
PAC ID
7315224540
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20170927003061
Address ID
MI495084600KE4444XSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for KAITLIN DEMAAGD (NP)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • Byron Center Avenue Southwest, Byron Center, Byron Township, Kent County, Michigan, 49315, United States

    BYRON CENTER, MI 493158001

    Phone: (616) 267-7668

    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: 2017-09-27

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
I20170927003061INurse PractitionerMITBD

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
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1711$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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

What federal number belongs to KAITLIN DEMAAGD (NP)?
The federal identifier for KAITLIN DEMAAGD (NP) is NPI 1710404587.
Is KAITLIN DEMAAGD (NP) active in the national directory?
KAITLIN DEMAAGD (NP)'s public NPI profile is in an active state.
Can you summarize KAITLIN DEMAAGD (NP)'s specialty in plain language?
Clinically, the directory lists KAITLIN DEMAAGD (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KAITLIN DEMAAGD (NP) practice in Michigan?
You will see Grand Rapids, Michigan on file for KAITLIN DEMAAGD (NP) alongside any extra practice locations.
What if Grand Rapids, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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