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KATHRYN M VERA NP
NPI 1861033599
Nurse Practitioner - Family in Stevensville, MI

Active since October 03, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5515 CLEVELAND AVE STE 5, STEVENSVILLE, MI 49127(269) 429-9677(269) 429-4002 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn M Vera Np NPPES

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

KATHRYN M VERA NP (NPI 1861033599) is an individual family provider in Stevensville, Michigan, licensed in Michigan (4704283203) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1861033599
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHRYN M VERACredential: NP
Location Address5515 CLEVELAND AVE STE 5Stevensville, MI 49127-9670
Mailing Address5515 Cleveland Ave Ste 5Stevensville, MI 49127-9670 · (269) 429-9677 · Fax (269) 429-4002
Phone(269) 429-9677
Fax(269) 429-4002
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 3, 2019
✔ NPI 1861033599 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 · 4704283203
5515 CLEVELAND AVE STE 5, Stevensville, MI 49127
Open in Google Maps ↗

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

Kathryn M Vera Np 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 ID1557794948
PECOS Enrollment IDI20191125001541
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49127 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

BRANDON ROBERT COLE DO
Family Medicine
5515 CLEVELAND AVE STE 5
STEVENSVILLE, MI 49127
Berrien County (269) 429-9644
ERIKA ANN WALKER PA
Physician Assistant
5515 CLEVELAND AVE STE 5
STEVENSVILLE, MI 49127
Berrien County (269) 429-9644
TOBIN J KLINT NP
Nurse Practitioner
5515 CLEVELAND AVE STE 5
STEVENSVILLE, MI 49127
Berrien County (269) 429-9677
DR. ELI SAGER D.O.
Family Medicine
5515 CLEVELAND AVE STE 5
STEVENSVILLE, MI 49127
Berrien County (269) 429-9644
DR. WILLIAM H WARD MD
Family Medicine
5515 CLEVELAND AVE STE 5
STEVENSVILLE, MI 49127
Berrien County (269) 429-9677

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 Kathryn Vera's NPI number?

The NPI number for Kathryn Vera is 1861033599. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Where is Kathryn Vera located?

Kathryn Vera practices at 5515 Cleveland Ave Ste 5, Stevensville, MI 49127. The listed phone number is (269) 429-9677.

What is Kathryn Vera's specialty?

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

Is Kathryn Vera enrolled in Medicare?

Yes. Kathryn Vera 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.

What insurance does Kathryn Vera 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 Kathryn Vera 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 Kathryn Vera affiliated with any hospitals?

According to CMS data, Kathryn Vera is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Kathryn Vera was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.