KATIE STUCKER (APRN) – Nurse Practitioner, NPI 1083065015

KATIE STUCKER (APRN) is a healthcare provider. based in Ash flat, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A004810 (AR). The NPI Number for KATIE STUCKER (APRN) is 1083065015

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATIE STUCKER (APRN)
NPI
1083065015
Phone
(870) 994-7301
Address
49 HIGHWAY 62 412
Enumeration Date
30 June 2016
Last Update Date
30 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709947301
Graduation Year
2016 (10 years ago)
PAC ID
0446543847
Group Practice PAC ID
4789715285
Professional Enrollment ID
I20160722000658
Address ID
AR725139594AS49XXX412X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for KATIE STUCKER (APRN)

  • 49 HIGHWAY 62 412

    ASH FLAT, AR 725139594

    Phone: (870) 994-7301

    Fax: (870) 994-7488

    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 6 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Amgen Inc. ($62).

Total Amount

$95

General + Research + Ownership

Payments

6

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

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: 2016-07-22

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
I20160722000658INurse 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
81002Urinalysis, manual test7351$0
87804Detection test by immunoassay with direct visual observation for influenza virus2813$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing2725$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1413$0
View full utilization report →

Insurance plans in this area (ZIP 72513)

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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: 4789715285View full group profile
NameSpecialtyState
Nurse PractitionerAR
Physician AssistantAR
-AR
Nurse PractitionerMO
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
-AR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Is KATIE STUCKER (APRN) listed with a National Provider Identifier?
Yes — KATIE STUCKER (APRN) has NPI 1083065015 on file in the registry.
Active or inactive — what applies to KATIE STUCKER (APRN)?
You should see KATIE STUCKER (APRN) as active in CMS-hosted NPPES data.
What area of care is associated with KATIE STUCKER (APRN)?
KATIE STUCKER (APRN)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KATIE STUCKER (APRN) associated with Ash Flat?
Public fields place KATIE STUCKER (APRN) around Ash Flat, Arkansas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KATIE STUCKER (APRN) is noted as June 30, 2016 where the registry provides it.

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