MRS. KATHRYN ANN VANCLEAVE (FNP) – Family Nurse Practitioner, NPI 1144377342

MRS. KATHRYN ANN VANCLEAVE (FNP) is a healthcare provider. based in Walnut creek, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. NP17029 (CA). The NPI Number for MRS. KATHRYN ANN VANCLEAVE (FNP) is 1144377342

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHRYN ANN VANCLEAVE (FNP)
NPI
1144377342
Phone
(925) 932-6330
Address
365 LENNON LN 250
Enumeration Date
3 January 2007
Last Update Date
28 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9258378848
Graduation Year
2006 (20 years ago)
PAC ID
4183721004
Group Practice PAC ID
8224296686
Professional Enrollment ID
I20070529000346
Address ID
CA945261778DA400XXBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for MRS. KATHRYN ANN VANCLEAVE (FNP)

  • 250, Lennon Lane, Shadelands Business Park, Walnut Creek, Contra Costa County, California, 94598, United States

    WALNUT CREEK, CA 945985915

    Phone: (925) 932-6330

    Type: Mailing

  • Quest Diagnostics, 477, North El Camino Real, Encinitas, San Diego County, California, 92024, United States

    SUITE A-308

    ENCINITAS, CA 920241328

    Phone: (760) 436-8700

    Fax: (760) 436-8937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,663.

Total Amount is formed as General ($1,663) + Research ($0) + Ownership ($0) = $1,663.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Incyte Corporation ($449).

Total Amount

$1,663

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,663

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2007-05-29

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
I20070529000346INurse PractitionerCATBD

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
17003Destruction of precancer skin growth, 2-14 growths783125$0
99213Established patient office or other outpatient visit, 20-29 minutes355236$0
17000Destruction of precancer skin growth, 1 growth235177$0
17110Destruction of skin growth, 1-14 growths12399$0
11102Biopsy of related skin growth, first growth9273$0
View full utilization report →

Insurance plans in this area (ZIP 94598)

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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: 8224296686View full group profile
NameSpecialtyState
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

How do payers reference MRS. KATHRYN ANN VANCLEAVE (FNP)?
For MRS. KATHRYN ANN VANCLEAVE (FNP), use NPI 1144377342 as the unique 10-digit identifier.
Is MRS. KATHRYN ANN VANCLEAVE (FNP) shown as active in public data?
Registry records indicate MRS. KATHRYN ANN VANCLEAVE (FNP) maintains an active NPI.
What clinical focus is listed for MRS. KATHRYN ANN VANCLEAVE (FNP)?
At a glance, MRS. KATHRYN ANN VANCLEAVE (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. KATHRYN ANN VANCLEAVE (FNP)?
Travel planning: use Walnut Creek, California as the reference point for MRS. KATHRYN ANN VANCLEAVE (FNP), then confirm.
Can I trust this NPI listing for MRS. KATHRYN ANN VANCLEAVE (FNP)?
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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