KATIE J HUTTON (APRN) – Adult Health Nurse Practitioner, NPI 1023503869

KATIE J HUTTON (APRN) is a healthcare provider. based in Jonesboro, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A005765 (AR). The NPI Number for KATIE J HUTTON (APRN) is 1023503869

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KATIE J HUTTON (APRN)
NPI
1023503869
Phone
(870) 588-7642
Address
5512 CORDOVA LN
Enumeration Date
25 June 2018
Last Update Date
11 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709724100
Graduation Year
2018 (8 years ago)
PAC ID
5597013516
Group Practice PAC ID
0941105480
Professional Enrollment ID
I20180808001847
Address ID
AR724013119JO225XXAVEX405
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for KATIE J HUTTON (APRN)

  • 5512 CORDOVA LN

    JONESBORO, AR 724047814

    Phone: (870) 588-7642

    Type: Mailing

  • 616 W Keiser Ave

    Osceola, AR 723703504

    Phone: (870) 936-8000

    Fax: (870) 934-3651

    Type: Location

  • 300, Carson Street, Jonesboro, Craighead County, Arkansas, 72401, United States

    JONESBORO, AR 724013104

    Phone: (870) 910-7726

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $358.

Total Amount is formed as General ($358) + Research ($0) + Ownership ($0) = $358.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($175).

Total Amount

$358

General + Research + Ownership

Payments

17

Total payment records

General Amount

$358

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

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: 2018-08-08

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
I20180808001847INurse PractitionerARTBD

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
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 72404)

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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: 0941105480View full group profile
NameSpecialtyState
Clinical Social WorkerAR
-AR
P S Y C H I A T R YTX
-CA
Nurse PractitionerAR
Pulmonary DiseaseAR
Emergency MedicineWA
Clinical Social WorkerAR
Orthopedic SurgeryAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Can I verify KATIE J HUTTON (APRN) with an NPI only?
You can start verification with NPI 1023503869 for KATIE J HUTTON (APRN), then check state licensing separately.
Is KATIE J HUTTON (APRN) still practicing?
KATIE J HUTTON (APRN) is currently listed as active in the public NPI registry.
What taxonomy line describes KATIE J HUTTON (APRN)?
For research purposes, treat KATIE J HUTTON (APRN) as Adult Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is KATIE J HUTTON (APRN) based?
KATIE J HUTTON (APRN) is tied to Jonesboro, Arkansas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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