MS. KATHERINE GRACE VAN ATTA (PA-C, CNM) – Advanced Practice Midwife, NPI 1740358167
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
55 CERTIFIED NURSE MIDWIFE (CNM) in AK
Provider Addresses for MS. KATHERINE GRACE VAN ATTA (PA-C, CNM)
3505 E MERIDIAN PARK LOOP STE 100
WASILLA, AK 996547242
Phone: (907) 357-4963
Type: Location
3505 E Meridian Park Loop Ste 100
Wasilla, AK 996547242
Phone: (907) 357-4963
Type: Location
4320 Diplomacy Dr Ste 2602
Anchorage, AK 995085925
Phone: (907) 729-4245
Type: Location
2650 E Broadview Ave
Wasilla, AK 996548302
Phone: (907) 373-3420
Fax: (907) 376-7847
Type: Location
2 School Road
Naknek, AK 99633
Phone: (907) 246-6155
Fax: (907) 246-6158
Type: Location
3380 C St Ste 100
Anchorage, AK 995033949
Phone: (907) 277-1440
Type: Location
5000 E SHENNUM DR
WASILLA, AK 996547718
Phone: (907) 373-3420
Fax: (907) 376-7847
Type: Location
2650, East Broadview Avenue, Wasilla, Matanuska-Susitna, Alaska, 99654, United States
WASILLA, AK 996548302
Phone: (907) 373-3420
Fax: (907) 376-7847
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2024-03-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($82).
Total Amount
$142
General + Research + Ownership
Payments
7
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $82 |
| ABBVIE INC. | $39 |
| Sumitomo Pharma America, Inc. | $22 |
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: 2020-04-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090904000316 | I | Physician Assistant | AK | TBD |
| I20140429000812 | I | Physician Assistant | TX | TBD |
| I20200414001262 | I | Certified Nurse Midwife (Cnm) | AK | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99654)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AK | |
| Physician Assistant | NC | |
| Nurse Practitioner | MO | |
| Physician Assistant | NH | |
| Nurse Practitioner | PA | |
| - | AK | |
| Nurse Practitioner | MO | |
| - | AK | |
| Physician Assistant | WI | |
| Nurse Practitioner | MO |
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