ALEXIS KILBOURN (PA) – Physician Assistant, NPI 1952945750
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for ALEXIS KILBOURN (PA)
4378 Holt Rd
Holt, MI 488421634
Phone: (517) 694-1466
Fax: (517) 694-3530
Type: Location
4378 HOLT RD
HOLT, MI 488421634
Phone: (517) 694-1466
Fax: (517) 694-3530
Type: Mailing
419 W STATE ST
MANCELONA, MI 496599651
Phone: (231) 587-9181
Fax: (231) 587-0923
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $950.
Total Amount is formed as General ($950) + Research ($0) + Ownership ($0) = $950.
Last reported payment date: 2024-08-26 • Largest payer in this snapshot: ABBVIE INC. ($373).
Total Amount
$950
General + Research + Ownership
Payments
52
Total payment records
General Amount
$950
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $373 |
| Novo Nordisk Inc | $158 |
| Abbott Laboratories | $111 |
| ITI, Inc. | $72 |
| Exact Sciences Corporation | $64 |
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: 2019-12-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191211000994 | I | Physician Assistant | MI | TBD |
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.
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 48842)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| G A S T R O E N T E R O L O G Y | MI | |
| O T O L A R Y N G O L O G Y | MI | |
| Physician Assistant | MI | |
| Family Practice | MI | |
| Orthopedic Surgery | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI |
Reviews
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