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KATHLEEN DOBBS FNP-BC
NPI 1639951833
Nurse Practitioner - Family in Saint Clair Shores, MI

Active since October 23, 2023PECOS Enrolled
22631 GREATER MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080(586) 800-0086 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Dobbs Fnp-bc NPPES

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

KATHLEEN DOBBS FNP-BC (NPI 1639951833) is an individual family provider in Saint Clair Shores, Michigan, licensed in Michigan (4704338826) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639951833
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN DOBBSCredential: FNP-BC
Location Address22631 GREATER MACK AVE STE 100Saint Clair Shores, MI 48080-2055
Mailing Address31024 Angeline Ct ESaint Clair Shores, MI 48082-1424 · (248) 396-1226
Phone(586) 800-0086
Sole ProprietorNo
Enumeration DateOctober 23, 2023
NPPES CertifiedOctober 20, 2023
✔ NPI 1639951833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704338826
22631 GREATER MACK AVE STE 100, Saint Clair Shores, MI 48080
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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)

Kathleen Dobbs 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 2

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

AMINE P AMINE MD PC
Internal Medicine (Adolescent Medicine)
22631 GREATER MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 800-0086
BETA MEDICAL PRACTICE PLLC
Internal Medicine (Nephrology)
22631 GREATER MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Macomb County (248) 331-5158

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 Kathleen Dobbs's NPI number?

The NPI number for Kathleen Dobbs is 1639951833. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Kathleen Dobbs located?

Kathleen Dobbs practices at 22631 Greater Mack Ave Ste 100, Saint Clair Shores, MI 48080. The listed phone number is (586) 800-0086.

What is Kathleen Dobbs's specialty?

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

Is Kathleen Dobbs enrolled in Medicare?

Yes. Kathleen Dobbs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Dobbs was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.