KRISTEN ELIZABETH KRUEGER (P.A.) – Medical Physician Assistant, NPI 1891800769

KRISTEN ELIZABETH KRUEGER (P.A.) is a healthcare provider. based in West bloomfield, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 5601004286 (MI). The NPI Number for KRISTEN ELIZABETH KRUEGER (P.A.) is 1891800769

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN ELIZABETH KRUEGER (P.A.)
NPI
1891800769
Phone
(248) 668-0900
Address
2300 HAGGERTY RD
Enumeration Date
20 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486680900
Graduation Year
2004 (22 years ago)
PAC ID
3779548433
Group Practice PAC ID
1456398775
Professional Enrollment ID
I20041123000065
Address ID
MI483232185WE2300XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for KRISTEN ELIZABETH KRUEGER (P.A.)

  • Haggerty Road, West Bloomfield Township, Commerce Township, Oakland County, Michigan, 48323, United States

    SUITE 1010

    WEST BLOOMFIELD, MI 483232184

    Phone: (248) 668-0900

    Fax: (248) 926-9112

    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)

CMS reports 81 Open Payments records for all available years, with a total value of $1,328.

Total Amount is formed as General ($1,328) + Research ($0) + Ownership ($0) = $1,328.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($236).

Total Amount

$1,328

General + Research + Ownership

Payments

81

Total payment records

General Amount

$1,328

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2004-11-23

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
I20041123000065IPhysician 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 48323)

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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: 1456398775View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Internal MedicineMI
Internal MedicineMI
Cardiovascular Disease (Cardiology)MI
-MI

Reviews

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Frequently asked questions

Is KRISTEN ELIZABETH KRUEGER (P.A.) listed with a National Provider Identifier?
Yes — KRISTEN ELIZABETH KRUEGER (P.A.) has NPI 1891800769 on file in the registry.
Is KRISTEN ELIZABETH KRUEGER (P.A.) still an active registrant?
KRISTEN ELIZABETH KRUEGER (P.A.) carries an active NPI according to the public dataset.
How would a patient describe KRISTEN ELIZABETH KRUEGER (P.A.)'s focus?
For KRISTEN ELIZABETH KRUEGER (P.A.), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KRISTEN ELIZABETH KRUEGER (P.A.)?
Travel planning: use West Bloomfield, Michigan as the reference point for KRISTEN ELIZABETH KRUEGER (P.A.), then confirm.
Can I trust this NPI listing for KRISTEN ELIZABETH KRUEGER (P.A.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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