MR. DOUGLAS CLAYTON KINNEY ACNP
NPI 1487902474
Nurse Practitioner - Acute Care in West Bloomfield, MI
About Mr. Douglas Clayton Kinney Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DOUGLAS CLAYTON KINNEY ACNP (NPI 1487902474) is an individual acute care provider in West Bloomfield, Michigan, licensed in Michigan (4704271318) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Douglas Clayton Kinney Acnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Douglas Kinney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Bloomfield, MI 48322
- Reassigned Medicare billing, Michigan enrollment
- 5 clinicians in this Medicare group
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 577 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Health Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WEST BLOOMFIELD, MI 48322
WEST BLOOMFIELD, MI 48322
WEST BLOOMFIELD, MI 48322
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 Douglas Kinney's NPI number?
The NPI number for Douglas Kinney is 1487902474. It was assigned to this individual provider in the NPPES registry on August 22, 2012.
Where is Douglas Kinney located?
Douglas Kinney practices at 6777 W Maple Rd, West Bloomfield, MI 48322. The listed phone number is (248) 325-1000.
What is Douglas Kinney's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Douglas Kinney enrolled in Medicare?
Yes. Douglas Kinney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Douglas Kinney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Kinney reassigns Medicare benefits to 2 organizations: Jose S Evangelista III MD PC (West Bloomfield, MI) and Henry Ford Health System (Detroit, MI). Each 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 Douglas Kinney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Kinney accept?
Health plans from Priority Health list Douglas Kinney 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.
Is Douglas Kinney affiliated with any hospitals?
According to CMS data, Douglas Kinney is affiliated with Henry Ford Health Hospital.
When was this NPI record last updated?
The NPPES record for Douglas Kinney was last updated on August 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mr. Douglas Clayton Kinney, ACNP · NPI 1487902474
Acute Care physician in West Bloomfield, Michigan. Individual provider, active in the CMS NPPES registry since August 22, 2012.
## Identity
- **NPI:** 1487902474 (Entity type: Individual)
- **Enumerated:** August 22, 2012
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 4704271318 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6777 W MAPLE RD, West Bloomfield, MI 48322-3013
- **Phone:** (248) 325-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Jose S Evangelista III MD PC (NPI 1871998385, West Bloomfield, MI); Henry Ford Health System (NPI 1104900455, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 22, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1487902474) · Data from the CMS NPPES public registry.