MISS MARY ELIZABETH KATZ – Physician Assistant, NPI 1922377910

MISS MARY ELIZABETH KATZ is a healthcare provider. based in Kalamazoo, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 1091172 (MI). The NPI Number for MISS MARY ELIZABETH KATZ is 1922377910

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MISS MARY ELIZABETH KATZ
NPI
1922377910
Phone
(269) 381-7136
Address
1820 SHAFFER ST
Enumeration Date
20 December 2011
Last Update Date
4 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9253596255
Graduation Year
2016 (10 years ago)
PAC ID
9133404726
Group Practice PAC ID
2264564574
Professional Enrollment ID
I20231226000560
Address ID
CA945504144LI48XXXSTXX300
Telehealth
Yes

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MISS MARY ELIZABETH KATZ

  • 1820 SHAFFER ST

    KALAMAZOO, MI 490481656

    Phone: (269) 381-7136

    Fax: (269) 381-6665

    Type: Mailing

  • 2182 EAST ST

    CONCORD, CA 945202012

    Phone: (925) 685-4224

    Fax: (925) 685-6997

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 204 Open Payments records for all available years, with a total value of $5,109.

Total Amount is formed as General ($5,109) + Research ($0) + Ownership ($0) = $5,109.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($881).

Total Amount

$5,109

General + Research + Ownership

Payments

204

Total payment records

General Amount

$5,109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2023-12-26

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
I20231226000560IPhysician AssistantCATBD

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 49048)

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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: 2264564574View full group profile
NameSpecialtyState
Physician AssistantCA
D E R M A T O L O G YFL
D E R M A T O L O G YCA
Physician AssistantCA
Physician AssistantCA
Dermatology, Internal MedicineCA
Physician AssistantCA

Reviews

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Frequently asked questions

What unique ID ties claims to MISS MARY ELIZABETH KATZ?
NPI 1922377910 is assigned to MISS MARY ELIZABETH KATZ under the national enumeration system.
Is MISS MARY ELIZABETH KATZ's NPI currently valid?
The extract we use shows MISS MARY ELIZABETH KATZ as active.
What field does MISS MARY ELIZABETH KATZ work in?
You can think of MISS MARY ELIZABETH KATZ as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MISS MARY ELIZABETH KATZ's primary listing?
We display Kalamazoo, Michigan because that is what the record indicates for MISS MARY ELIZABETH KATZ.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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