MRS. KARI JEAN EWALT (MS, MA) – Athletic Trainer, NPI 1962559682

MRS. KARI JEAN EWALT (MS, MA) is a healthcare provider. based in Rochester hills, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MS, MA. They hold a License No. 5601011398 (MI). The NPI Number for MRS. KARI JEAN EWALT (MS, MA) is 1962559682

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KARI JEAN EWALT (MS, MA)
NPI
1962559682
Phone
(248) 853-0803
Address
1701 SOUTH BLVD E
Enumeration Date
4 January 2007
Last Update Date
1 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
4486021813
Group Practice PAC ID
5092787465
Professional Enrollment ID
I20221027002151
Address ID
MI483076118Ro1701XEXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for MRS. KARI JEAN EWALT (MS, MA)

  • 1701 SOUTH BLVD E

    ROCHESTER HILLS, MI 483076122

    Phone: (248) 853-0803

    Fax: (248) 852-5859

    Type: Mailing

  • Polo Club Drive, Polo Club Apartments, Farmington Hills, Oakland County, Michigan, 48267, United States

    FARMINGTON HILLS, MI 483355617

    Phone: (248) 302-8219

    Type: Mailing

  • 1701 SOUTH BLVD E STE 110

    ROCHESTER HILLS, MI 483076118

    Phone: (248) 853-0803

    Fax: (248) 852-5859

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 300 Open Payments records for all available years, with a total value of $17,522.

Total Amount is formed as General ($17,522) + Research ($0) + Ownership ($0) = $17,522.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Amgen Inc. ($9,104).

Total Amount

$17,522

General + Research + Ownership

Payments

300

Total payment records

General Amount

$17,522

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2022-10-27

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
I20221027002151IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes197108$0
J1100Injection, dexamethasone sodium phosphate, 1 mg12215$0
99213Established patient office or other outpatient visit, 20-29 minutes5245$0
20610Aspiration and/or injection of fluid from large joint3414$0
View full utilization report →

Insurance plans in this area (ZIP 48307)

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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: 5092787465View full group profile
NameSpecialtyState
R H E U M A T O L O G YMI
Rheumatology, Internal MedicineMI
R H E U M A T O L O G YMI
Physician AssistantMI
Physician AssistantMI
Rheumatology, Internal MedicineMI

Reviews

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Frequently asked questions

Is MRS. KARI JEAN EWALT (MS, MA) listed with a National Provider Identifier?
Yes — MRS. KARI JEAN EWALT (MS, MA) has NPI 1962559682 on file in the registry.
Active or inactive — what applies to MRS. KARI JEAN EWALT (MS, MA)?
You should see MRS. KARI JEAN EWALT (MS, MA) as active in CMS-hosted NPPES data.
What expertise is attributed to MRS. KARI JEAN EWALT (MS, MA)?
MRS. KARI JEAN EWALT (MS, MA)'s specialty line reads Athletic Trainer. Clinical services aligned with this taxonomy classification.
Where in Michigan is MRS. KARI JEAN EWALT (MS, MA) registered?
Use Rochester Hills, Michigan as the headline location for MRS. KARI JEAN EWALT (MS, MA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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