MICHELLE JAYME KLOSS (DNP, APRN, AGNP-BC) – Gerontology Nurse Practitioner, NPI 1740842657

MICHELLE JAYME KLOSS (DNP, APRN, AGNP-BC) is a healthcare provider. based in Rockford, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, AGNP-BC. They hold a License No. 4704309389 (MI). The NPI Number for MICHELLE JAYME KLOSS (DNP, APRN, AGNP-BC) is 1740842657

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE JAYME KLOSS (DNP, APRN, AGNP-BC)
NPI
1740842657
Phone
(616) 206-2784
Address
10700 TRAILSIDE WOODS DR NE
Enumeration Date
1 July 2019
Last Update Date
1 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8772322857
Graduation Year
2019 (7 years ago)
PAC ID
1850787680
Group Practice PAC ID
6305283011
Professional Enrollment ID
I20220405000120
Address ID
MI490098126KA6480XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for MICHELLE JAYME KLOSS (DNP, APRN, AGNP-BC)

  • 10700 TRAILSIDE WOODS DR NE

    ROCKFORD, MI 493417213

    Phone: (616) 206-2784

    Type: Mailing

  • 231, Pine Lake Drive, Newaygo, Newaygo County, Michigan, 49337, United States

    NEWAYGO, MI 493379264

    Phone: (231) 652-4107

    Fax: (231) 652-4620

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $363.

Total Amount is formed as General ($363) + Research ($0) + Ownership ($0) = $363.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: ABBVIE INC. ($153).

Total Amount

$363

General + Research + Ownership

Payments

14

Total payment records

General Amount

$363

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

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: 2022-04-05

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
I20220405000120INurse 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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 49341)

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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: 6305283011View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerIN

Reviews

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Frequently asked questions

What NPI should I save for MICHELLE JAYME KLOSS (DNP, APRN, AGNP-BC)?
Save NPI 1740842657 if you need a stable reference for MICHELLE JAYME KLOSS (DNP, APRN, AGNP-BC).
Is MICHELLE JAYME KLOSS (DNP, APRN, AGNP-BC)'s NPI currently valid?
The extract we use shows MICHELLE JAYME KLOSS (DNP, APRN, AGNP-BC) as active.
What field does MICHELLE JAYME KLOSS (DNP, APRN, AGNP-BC) work in?
You can think of MICHELLE JAYME KLOSS (DNP, APRN, AGNP-BC) as practicing within Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MICHELLE JAYME KLOSS (DNP, APRN, AGNP-BC)?
We surface Rockford, Michigan for MICHELLE JAYME KLOSS (DNP, APRN, AGNP-BC) based on available NPPES addresses.
What if Rockford, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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