KATIE NICOLE BAILEY – Psychiatric/Mental Health Nurse Practitioner, NPI 1962280008

KATIE NICOLE BAILEY is a healthcare provider. based in Flint, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704342507 (MI). The NPI Number for KATIE NICOLE BAILEY is 1962280008

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KATIE NICOLE BAILEY
NPI
1962280008
Phone
(810) 630-1152
Address
1309 S LINDEN RD STE C
Enumeration Date
19 September 2023
Last Update Date
9 October 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8106265191
Graduation Year
2023 (3 years ago)
PAC ID
0446607204
Group Practice PAC ID
5799035390
Professional Enrollment ID
I20231115003731
Address ID
MI485323443FL1309XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for KATIE NICOLE BAILEY

  • 1309 S LINDEN RD STE C

    FLINT, MI 485323443

    Phone: (810) 630-1152

    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 29 Open Payments records for all available years, with a total value of $579.

Total Amount is formed as General ($579) + Research ($0) + Ownership ($0) = $579.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($109).

Total Amount

$579

General + Research + Ownership

Payments

29

Total payment records

General Amount

$579

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2023-11-15

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
I20231115003731INurse PractitionerMITBD

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 48532)

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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: 5799035390View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Nurse PractitionerMI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is KATIE NICOLE BAILEY's NPI number?
KATIE NICOLE BAILEY's NPI is 1962280008 — the number used across U.S. healthcare to identify this provider.
Would KATIE NICOLE BAILEY appear as active to a payer?
You can treat KATIE NICOLE BAILEY as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KATIE NICOLE BAILEY's focus?
For KATIE NICOLE BAILEY, the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Michigan is KATIE NICOLE BAILEY registered?
Use Flint, Michigan as the headline location for KATIE NICOLE BAILEY here.
When was this NPI issued?
Enumeration for KATIE NICOLE BAILEY is noted as September 19, 2023 where the registry provides it.

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