MRS. KATRINA MARIE ROUSHER (CPNP) – Pediatric Nurse Practitioner, NPI 1043763113
Pediatric Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,575 NURSE PRACTITIONER in AZ
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Provider Addresses for MRS. KATRINA MARIE ROUSHER (CPNP)
Phoenix Children's Hospital, 1919, East Thomas Road, Bronze Boot, Phoenix, Maricopa County, Arizona, 85016, United States
PHOENIX, AZ 850167710
Phone: (602) 933-1000
Mailing address matches the actual address.
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 $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-06-04 • Largest payer in this snapshot: SOBI, INC ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SOBI, INC | $23 |
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: 2016-10-04
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161004001066 | I | Nurse Practitioner | AZ | 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 85016)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| H O S P I T A L I S T | TX | |
| General Surgery | PA | |
| A N E S T H E S I O L O G Y | AZ | |
| Pediatric Medicine | AZ | |
| Nurse Practitioner | AZ | |
| Pediatric Medicine | TN | |
| Registered Dietitian Or Nutrition Professional | AZ | |
| Pediatric Medicine, Critical Care (Intensivists) | AZ | |
| Nurse Practitioner | AZ |
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