Kristen Mix, DNP, AGACNP - Medicare Nurse Practitioner in Clinton Township, MI

Kristen Mix, DNP, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Clinton Township, Michigan. Her current practice location is 15855 19 Mile Rd, Clinton Township, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 263-2300.

Kristen Mix is licensed to practice in Michigan (license number 4704285817) 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 1487256426.

Contact Information

Kristen Mix, DNP, AGACNP
15855 19 Mile Rd,
Clinton Township, MI 48038-3504
(586) 263-2300
Not Available

Map and Direction




Provider's Profile

Full NameKristen Mix
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location15855 19 Mile Rd, Clinton Township, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487256426
  • Provider Enumeration Date: 11/13/2020
  • Last Update Date: 07/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7113308305
  • Enrollment ID: I20220719003025

Medical Identifiers

Medical identifiers for Kristen Mix such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487256426NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 4704285817 (Michigan)Secondary
363LA2100XNurse Practitioner - Acute Care 4704285817 (Michigan)Primary

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 Mix allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Macomb Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952440521
PECOS PAC ID: 7911808381
Enrollment ID: O20040617000651
Entity NamePioneer Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093296592
PECOS PAC ID: 2860743309
Enrollment ID: O20180924001024

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 Mix 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 Mix, DNP, AGACNP
950 Sherry Dr,
Lake Orion, MI 48362-2870

Ph: () -
Kristen Mix, DNP, AGACNP
15855 19 Mile Rd,
Clinton Township, MI 48038-3504

Ph: (586) 263-2300

Reviews and Comments


Nurse Practitioner Nurses in Clinton Township, MI

Emily Begian, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 43361 Commons Dr, Clinton Township, MI 48038
Phone: 586-745-3006    Fax: 586-935-3762
Mrs. Michelle Carol Brogdon, RN, MSN, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16151 19 Mile Rd Ste 120, Clinton Township, MI 48038
Phone: 586-263-2222    
Dr. Esther Casinelli Sikorski, C.P.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 35200 Little Mack Ave, Clinton Township, MI 48035
Phone: 586-790-4096    Fax: 586-790-4364
Sara Cormendy, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038
Phone: 586-263-2075    
Judy Haefner,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 38242 Sarnette St, Clinton Township, MI 48036
Phone: 586-954-9042    
Mrs. Dana Marie Wenner, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038
Phone: 586-263-2788    Fax: 586-263-2577
Melissa Marie Morrison, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038
Phone: 586-263-2300    

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.