KATIE JO ROOD – Family Nurse Practitioner, NPI 1215690623

KATIE JO ROOD is a healthcare provider. based in Eielson afb, Alaska. specializing in NURSE PRACTITIONER. They hold a License No. NURR37093 (AK). The NPI Number for KATIE JO ROOD is 1215690623

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KATIE JO ROOD
NPI
1215690623
Phone
(317) 339-6615
Address
734 Denali Loop Apt C
Enumeration Date
21 October 2021
Last Update Date
13 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774656650
Graduation Year
2021 (5 years ago)
PAC ID
8325409709
Group Practice PAC ID
1759742919
Professional Enrollment ID
I20230801004081
Address ID
IN462031574IN675XXWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:4State licenses:4Digital endpointsOther names

761 NURSE PRACTITIONER in AK

Provider Addresses for KATIE JO ROOD

  • 734 Denali Loop Apt C

    Eielson AFB, AK 997021028

    Phone: (317) 339-6615

    Type: Location

  • 575 Riverstone Way Ste C

    Fairbanks, AK 997092939

    Phone: (907) 450-3330

    Type: Location

  • 3540 PUMP RD

    RICHMOND, VA 232331115

    Phone: (804) 404-6270

    Type: Mailing

  • 575 RIVERSTONE WAY STE C

    FAIRBANKS, AK 997092939

    Phone: (907) 450-3330

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-02-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230801004081INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2111$0
99213Established patient office or other outpatient visit, 20-29 minutes2011$0
View full utilization report →

Insurance plans in this area (ZIP 99702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759742919View full group profile
NameSpecialtyState
Clinical Social WorkerIN
P S Y C H I A T R YSC
Nurse PractitionerMI
Mental Health CounselorLA
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerAZ
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is KATIE JO ROOD's NPI number?
KATIE JO ROOD's NPI is 1215690623 — the number used across U.S. healthcare to identify this provider.
Is KATIE JO ROOD shown as active in public data?
Registry records indicate KATIE JO ROOD maintains an active NPI.
What kind of doctor is KATIE JO ROOD?
KATIE JO ROOD is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Alaska is KATIE JO ROOD registered?
Use Eielson Afb, Alaska as the headline location for KATIE JO ROOD here.
Can I trust this NPI listing for KATIE JO ROOD?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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