KRISTIN PACHOLKE
NPI 1427647957
Physician Assistant in Detroit, MI

Q: What is Kristin Pacholke's NPI number?

The NPI number for Kristin Pacholke is 1427647957. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Q: What is Kristin Pacholke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Pacholke was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since January 11, 2021PECOS EnrolledAccepts Medicare Assignment

259 MACK AVE, DETROIT, MI 48201(313) 577-1716 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 12, 2025, Jun 22, 2021, Jan 11, 2021 (3 updates tracked since 2021).

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About Kristin Pacholke NPPES

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

KRISTIN PACHOLKE (NPI 1427647957) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601010550) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Ann Arbor Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427647957

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTIN PACHOLKE

Location Address259 MACK AVEDetroit, MI 48201-2427

Mailing Address259 Mack AveDetroit, MI 48201-2427

Phone(313) 577-1716

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 11, 2021

Last NPPES UpdateJune 12, 20253 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1427647957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601010550

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

259 MACK AVE, Detroit, MI 48201

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Secondary Practice Locations 2

Location 115010 Bishop StOak Park, MI 48237-1984 · Phone (248) 345-6504

Location 23601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (248) 898-1994

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristin Pacholke is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587068762

PECOS Enrollment IDI20210810002767

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230156

Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

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 20

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

ANNABEL SHAMMAMI

Physician Assistant