KRISTI B HAWLEY (D.O) – Dermatology Physician, NPI 1821350745

KRISTI B HAWLEY (D.O) is a healthcare provider. based in Grand rapids, Michigan. specializing in DERMATOLOGY. They hold the professional credentials D.O. They hold a License No. 5101020765 (MI). The NPI Number for KRISTI B HAWLEY (D.O) is 1821350745

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
KRISTI B HAWLEY (D.O)
NPI
1821350745
Phone
(616) 326-0114
Address
6750 KALAMAZOO AVE SE STE C
Enumeration Date
15 June 2012
Last Update Date
14 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163260114
Graduation Year
2012 (14 years ago)
PAC ID
6406146018
Group Practice PAC ID
5092044487
Professional Enrollment ID
I20160609000583
Address ID
MI493167478CA1661XSEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

Provider Addresses for KRISTI B HAWLEY (D.O)

  • 6750 KALAMAZOO AVE SE STE C

    GRAND RAPIDS, MI 495087897

    Phone: (616) 326-0114

    Fax: (616) 369-3790

    Type: Mailing

  • 833 Michigan St NE Bldg 102

    Grand Rapids, MI 495032578

    Phone: (616) 459-8209

    Fax: (616) 459-0313

    Type: Location

  • 6750 Kalamazoo Ave SE Ste C

    Grand Rapids, MI 495087897

    Phone: (616) 326-0114

    Fax: (616) 369-3790

    Type: Location

  • 1661 CRYSTAL SPRINGS BLVD SE

    CALEDONIA, MI 493167897

    Phone: (616) 326-0114

    Fax: (616) 369-3790

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1,174 Open Payments records for all available years, with a total value of $827,135.

Total Amount is formed as General ($806,126) + Research ($21,009) + Ownership ($0) = $827,135.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GENZYME CORPORATION ($225,738).

Total Amount

$827,135

General + Research + Ownership

Payments

1,174

Total payment records

General Amount

$806,126

General payments

Research Amount

$21,009

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2016-06-09

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
I20160609000583IDermatologyMITBD

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
G6001Ultrasonic guidance for placement of radiation therapy fields37720$0
77280Obtaining data needed to develop the optimal radiation treatment, 1 treatment area35919$0
77401Superficial and/or low voltage radiation treatment delivery34818$0
17003Destruction of precancer skin growth, 2-14 growths31652$0
99213Established patient office or other outpatient visit, 20-29 minutes11484$0
View full utilization report →

Insurance plans in this area (ZIP 49508)

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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: 5092044487View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerOH
Dermatology, PathologyMI
D E R M A T O L O G YTX
Dermatology, Micrographic Dermatologic Surgery (Mds)OH
Physician AssistantMI

Reviews

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Frequently asked questions

What federal number belongs to KRISTI B HAWLEY (D.O)?
The federal identifier for KRISTI B HAWLEY (D.O) is NPI 1821350745.
Is KRISTI B HAWLEY (D.O)'s NPI currently valid?
The extract we use shows KRISTI B HAWLEY (D.O) as active.
What field does KRISTI B HAWLEY (D.O) work in?
You can think of KRISTI B HAWLEY (D.O) as practicing within Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for KRISTI B HAWLEY (D.O)?
We surface Grand Rapids, Michigan for KRISTI B HAWLEY (D.O) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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