Kristen Kay Massingill, AGNP-C, PMHNP-BC - Medicare Nurse Practitioner in Detroit, MI

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Kristen Kay Massingill, AGNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Detroit, Michigan. Her current practice location is 2111 Woodward Ave, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 546-0900.

Kristen Kay Massingill is licensed to practice in New York (license number 406783) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083290464.

Contact Information

Kristen Kay Massingill, AGNP-C, PMHNP-BC
2111 Woodward Ave,
Detroit, MI 48201-3421
(313) 546-0900
Not Available

Map and Direction




Provider's Profile

Full NameKristen Kay Massingill
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2111 Woodward Ave, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083290464
  • Provider Enumeration Date: 03/24/2021
  • Last Update Date: 03/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6901215466
  • Enrollment ID: I20210513000295

Medical Identifiers

Medical identifiers for Kristen Kay Massingill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083290464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health APRN11035139 (Florida)Secondary
363LA2200XNurse Practitioner - Adult Health RN333246 (Georgia)Secondary
363LA2200XNurse Practitioner - Adult Health APRN.CNP.0028580 (Ohio)Secondary
363LA2200XNurse Practitioner - Adult Health 312084 (New York)Secondary
363LA2200XNurse Practitioner - Adult Health 4704299129 (Michigan)Secondary
363LA2200XNurse Practitioner - Adult Health C-APN.0104493-C-NP (Colorado)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health C-APN.0104493-C-NP (Colorado)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11035139 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN333246 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 406783 (New York)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.0028580 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ15314800 (New Jersey)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704299129 (Michigan)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristen Kay Massingill allows following entities to bill medicare on her behalf.
Entity NameElevate Wellness Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255192712
PECOS PAC ID: 1355781667
Enrollment ID: O20240503002053

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Kay Massingill is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristen Kay Massingill, AGNP-C, PMHNP-BC
238 Evans Glen Trl,
Tipton, MI 49287-9724

Ph: (517) 260-2759		Kristen Kay Massingill, AGNP-C, PMHNP-BC
2111 Woodward Ave,
Detroit, MI 48201-3421

Ph: (313) 546-0900

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.