KATHERINE M RADAKOVICH FNP-BC
NPI 1043330798
Nurse Practitioner - Family in Bangor, MI

Q: What is Katherine Radakovich's NPI number?

The NPI number for Katherine Radakovich is 1043330798. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is Katherine Radakovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 29, 2007PECOS Enrolled

803 W ARLINGTON ST, BANGOR, MI 49013(269) 427-6810(269) 427-6811 Get Directions Write a Review

NPPES record last updated: March 26, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Katherine M Radakovich Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE M RADAKOVICH FNP-BC (NPI 1043330798) is an individual family provider in Bangor, Michigan, licensed in Michigan (4704285987) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043330798

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHERINE M RADAKOVICHCredential: FNP-BC

Location Address803 W ARLINGTON STBangor, MI 49013-1108

Mailing Address803 W Arlington StBangor, MI 49013-1108 · (269) 427-6810 · Fax (269) 427-6811

Phone(269) 427-6810

Fax(269) 427-6811

Sole ProprietorYes

Enumeration DateMarch 29, 2007

Last NPPES UpdateMarch 26, 2017

✔ NPI 1043330798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MI · 4704285987✔ Licensed in AK · 1139✔ Licensed in FL · ARNP9321730

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 857942

803 W ARLINGTON ST, Bangor, MI 49013

Open in Google Maps ↗

Other Identifiers 2

Medicaid003650500FL

Medicare PINFO774YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine M Radakovich Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Radakovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intercare Community Health Network

0.2 mi

Federally Qualified Health Center (FQHC)

50 INDUSTRIAL PARK DR
Bangor, MI 49013

Reassigned Medicare billing, Michigan enrollment
101 clinicians in this Medicare group

NPI 1326058512 (269) 427-7937

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STACY LAMONTAGNA NP

Nurse Practitioner (Family)

803 W ARLINGTON ST
BANGOR, MI 49013

Van Buren County (269) 427-6810

MS. REBEKAH LEE FATZINGER LLP, LMSW

Social Worker (Clinical)

803 W ARLINGTON ST
BANGOR, MI 49013

Van Buren County (269) 427-6810

MS. HOLLY HUSTED NP

Nurse Practitioner

803 W ARLINGTON ST
BANGOR, MI 49013

Van Buren County (269) 427-6810

ANGELA REED NP

Nurse Practitioner (Pediatrics)

803 W ARLINGTON ST, BANGOR HEALTH CENTER
BANGOR, MI 49013

Van Buren County (269) 427-6810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Radakovich's NPI number?

The NPI number for Katherine Radakovich is 1043330798. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Katherine Radakovich located?

Katherine Radakovich practices at 803 W Arlington St, Bangor, MI 49013. The listed phone number is (269) 427-6810.

What is Katherine Radakovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katherine Radakovich enrolled in Medicare?

Yes. Katherine Radakovich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Radakovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Radakovich reassigns Medicare benefits to Intercare Community Health Network (Bangor, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Radakovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Radakovich accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Katherine Radakovich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Radakovich was last updated on March 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.