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MCKAYLA POPPENS MD
NPI 1396500401
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since February 19, 2024PECOS Enrolled
1500 E MEDICAL CENTER DR # TC1910, ANN ARBOR, MI 48109(734) 936-4054(734) 647-2540 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Jun 23, 2025, Jul 9, 2024 (3 updates tracked since 2024).

About Mckayla Poppens Md NPPES

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

MCKAYLA POPPENS MD (NPI 1396500401) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396500401
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMCKAYLA POPPENSCredential: MD
Location Address1500 E MEDICAL CENTER DR # TC1910Ann Arbor, MI 48109-5000
Mailing Address1500 E Medical Center DrAnn Arbor, MI 48109-5000 · (734) 936-4054 · Fax (734) 647-2540
Phone(734) 936-4054
Fax(734) 647-2540
Sole ProprietorNo
Enumeration DateFebruary 19, 2024
Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1396500401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E MEDICAL CENTER DR # TC1910, Ann Arbor, MI 48109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckayla Poppens Md 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.

Other Providers at the Same Location NPPES 5

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

SUZANNE KATHERINE SHOFFNER-BECK MD/PHD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR # TC1910
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4054
DR. JACOB THOMAS KINGSLEY MD
Dermatology
1500 E MEDICAL CENTER DR # TC1910
ANN ARBOR, MI 48109
Washtenaw County (734) 615-6874
MOHAMMAD SAFFARI DOOST
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR # TC1910
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4054
ROCIO OLIVA MD, MS
Dermatology
1500 E MEDICAL CENTER DR # TC1910
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4054
STEPHANIE ADAME
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR # TC1910
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4054

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 Mckayla Poppens's NPI number?

The NPI number for Mckayla Poppens is 1396500401. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Where is Mckayla Poppens located?

Mckayla Poppens practices at 1500 E Medical Center Dr # Tc1910, Ann Arbor, MI 48109. The listed phone number is (734) 936-4054.

What is Mckayla Poppens's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mckayla Poppens enrolled in Medicare?

Yes. Mckayla Poppens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mckayla Poppens was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.