MRS. KRISTIN MARIE ELLIOTT (ACNP-BC) – Nurse Practitioner, NPI 1801029418
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KRISTIN MARIE ELLIOTT (ACNP-BC)
2615 ELECTRIC AVENUE
PORT HURON, MI 48060
Phone: (810) 990-8222
Fax: (810) 937-5592
Type: Mailing
1210, 10th Avenue, Port Huron, Saint Clair County, Michigan, 48060, United States
PORT HURON, MI 480603406
Phone: (810) 984-8470
Fax: (810) 984-3919
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 90 Open Payments records for all available years, with a total value of $2,004.
Total Amount is formed as General ($2,004) + Research ($0) + Ownership ($0) = $2,004.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($229).
Total Amount
$2,004
General + Research + Ownership
Payments
90
Total payment records
General Amount
$2,004
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-03-10
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 |
|---|---|---|---|---|
| I20100310000808 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 40 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 53 | 39 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 22 | 19 | $0 |
Insurance plans in this area (ZIP 48060)
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