Individual provider Active NPI

Kristin Marie Dubay

  • Gerontology Nurse Practitioner
  • Peck, MI
National Provider Identifier
1639068448
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704343115 Issued in MI
Practice address
251 E Peck Rd
Peck, MI 48466-9589
Phone
(810) 378-4900
NPI assigned
Jun 30, 2025
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704343115 MI Primary

Addresses

Primary practice location

251 E Peck Rd
Peck, MI 48466-9589

Mailing address

6845 Raymann CT
Kimball, MI 48074-2317
Phone (586) 764-4783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912001129 MI Practitioner - Nurse Practitioner 8820591050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

120 N Delaware St
Sandusky, MI 48471-1009

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
McKenzie Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
McKenzie Memorial Hospital Past Accepting new patients

Locations

251 E Peck Rd
Peck, MI 48466
Phone (810) 378-4900

120 N Delaware St
Sandusky, MI 48471
Phone (810) 648-3770

Interoperability endpoints

  • Direct secure messaging: kristin.dubay@mhs.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1639068448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 RAYMANN CT",
            "city": "KIMBALL",
            "state": "MI",
            "postal_code": "480742317",
            "telephone_number": "586-764-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E PECK RD",
            "city": "PECK",
            "state": "MI",
            "postal_code": "484669589",
            "telephone_number": "810-378-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBAY",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704343115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peck, MI

Sources for this page

Verify at the official NPI Registry.