KATE JEROMAE FETALCO (FNP-BC) – Nurse Practitioner, NPI 1306456223
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for KATE JEROMAE FETALCO (FNP-BC)
415 N Pacific Coast Hwy Ste 101
Redondo Beach, CA 902772840
Phone: (999) 999-9999
Type: Location
555 E OCEAN BLVD STE 110
LONG BEACH, CA 908025084
Phone: (562) 285-5050
Type: Mailing
415 N PACIFIC COAST HWY STE 101
REDONDO BEACH, CA 902772840
Phone: (999) 999-9999
Type: Location
4312 WOODMAN AVE SUITE 102
SHERMAN OAKS, CA 91423
Phone: (818) 646-2562
Type: Mailing
4312 WOODMAN AVE STE 102
SHERMAN OAKS, CA 914235523
Phone: (818) 646-2562
Type: Location
555 E Ocean Blvd Ste 110
Long Beach, CA 908025084
Phone: (562) 285-5050
Type: Location
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO, CA 941113723
Phone:
Type: Mailing
2 EMBARCADERO CTR LBBY LEVEL
SAN FRANCISCO, CA 941113823
Phone: (888) 663-6331
Fax: (415) 252-7176
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-09-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200921001552 | I | Nurse Practitioner | CA | 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 90277)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OH | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Internal Medicine | CA | |
| Internal Medicine, Gastroenterology | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | NC | |
| O P H T H A L M O L O G Y | CA | |
| Anesthesiology, Pain Management | NH | |
| Family Practice, Sports Medicine | CA |
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