KAILING CHAN (N.P.) – Nurse Practitioner, NPI 1790755403

KAILING CHAN (N.P.) is a healthcare provider. based in Farmington hills, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 4704248221 (MI). The NPI Number for KAILING CHAN (N.P.) is 1790755403

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KAILING CHAN (N.P.)
NPI
1790755403
Phone
(248) 381-8081
Address
23550 HAGGERTY RD
Enumeration Date
25 January 2006
Last Update Date
6 December 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
5624613000
Graduation Year
2003 (23 years ago)
PAC ID
0840273850
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20040610001144
Address ID
CA907062246BE9400XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for KAILING CHAN (N.P.)

  • Haggerty Road, Novi, Oakland County, Michigan, 48323, United States

    FARMINGTON HILLS, MI 483352614

    Phone: (248) 381-8081

    Fax: (734) 402-0254

    Mailing address matches the actual address.

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: 2004-06-10

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
I20040610001144INurse PractitionerCATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2511$0
View full utilization report →

Insurance plans in this area (ZIP 48335)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What is the registry number for KAILING CHAN (N.P.)?
The registry entry for KAILING CHAN (N.P.) shows NPI 1790755403.
Is KAILING CHAN (N.P.)'s NPI status active today?
Active status means KAILING CHAN (N.P.)'s NPI record is not deactivated in the public file.
What does the directory say KAILING CHAN (N.P.) does?
Insurance directories may phrase it differently, but here KAILING CHAN (N.P.) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to KAILING CHAN (N.P.)?
The directory associates KAILING CHAN (N.P.) with Farmington Hills, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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