KATIE MARIE ZERKLE – Physician Assistant, NPI 1891456679

KATIE MARIE ZERKLE is a healthcare provider. based in Fruitport, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601011194 (MI). The NPI Number for KATIE MARIE ZERKLE is 1891456679

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KATIE MARIE ZERKLE
NPI
1891456679
Phone
(231) 955-3085
Address
4038 HEIGHTS RAVENNA RD
Enumeration Date
4 January 2022
Last Update Date
8 October 2023

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
6162357272
Graduation Year
2022 (4 years ago)
PAC ID
7719360361
Group Practice PAC ID
6800707647
Professional Enrollment ID
I20220816000601
Address ID
MI495034748GR550XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for KATIE MARIE ZERKLE

  • 4038 HEIGHTS RAVENNA RD

    FRUITPORT, MI 494158631

    Phone: (231) 955-3085

    Type: Mailing

  • 201 LINDEN ST

    BIG RAPIDS, MI 493071825

    Phone: (168) 401-1676

    Fax: (855) 936-8876

    Type: Location

  • 200 S BOLTWOOD ST

    HASTINGS, MI 490581926

    Phone: (269) 945-4220

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Genentech USA, Inc. ($46).

Total Amount

$90

General + Research + Ownership

Payments

3

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

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: 2022-08-16

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
I20220816000601IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49415)

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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: 6800707647View full group profile
NameSpecialtyState
Nurse PractitionerWA
O P T O M E T R YMI
-MI
-MI
Nurse PractitionerMI
Physician AssistantMI
Physician AssistantMI
Mental Health CounselorMI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI

Reviews

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Frequently asked questions

How do payers reference KATIE MARIE ZERKLE?
For KATIE MARIE ZERKLE, use NPI 1891456679 as the unique 10-digit identifier.
Active or inactive — what applies to KATIE MARIE ZERKLE?
You should see KATIE MARIE ZERKLE as active in CMS-hosted NPPES data.
What expertise is attributed to KATIE MARIE ZERKLE?
KATIE MARIE ZERKLE's specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KATIE MARIE ZERKLE associated with Fruitport?
Public fields place KATIE MARIE ZERKLE around Fruitport, Michigan. Always confirm the exact site before visiting.
Does KATIE MARIE ZERKLE accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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