KATELYN DAKOTA JAE MCINTOSH (FNP-C) – Family Nurse Practitioner, NPI 1497316657

KATELYN DAKOTA JAE MCINTOSH (FNP-C) is a healthcare provider. based in Colorado springs, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 28216991A (IN). The NPI Number for KATELYN DAKOTA JAE MCINTOSH (FNP-C) is 1497316657

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN DAKOTA JAE MCINTOSH (FNP-C)
NPI
1497316657
Phone
(719) 282-6337
Address
9320 Grand Cordera Pkwy Ste 100
Enumeration Date
27 June 2019
Last Update Date
24 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7192190333
Graduation Year
2019 (7 years ago)
PAC ID
1153658778
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20221012000240
Address ID
CO809217648CO13445PKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for KATELYN DAKOTA JAE MCINTOSH (FNP-C)

  • 9320 Grand Cordera Pkwy Ste 100

    Colorado Springs, CO 809247004

    Phone: (719) 282-6337

    Fax: (719) 282-0532

    Type: Location

  • 25, West Main Street, Bellville, Austin County, Texas, 77418, United States

    AUSTIN, IN 471021303

    Phone: (812) 794-8100

    Type: Mailing

  • 9320 GRAND CORDERA PKWY STE 100

    COLORADO SPRINGS, CO 809247004

    Phone: (719) 282-6337

    Fax: (719) 282-0532

    Type: Mailing

  • 2695 ROCKY MOUNTAIN AVE STE 150

    LOVELAND, CO 805389071

    Phone: (970) 624-2420

    Fax: (970) 652-2928

    Type: Mailing

  • 13445 VOYAGER PKWY

    COLORADO SPRINGS, CO 809217648

    Phone: (719) 365-3220

    Fax: (719) 365-7680

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2023-03-23 • Largest payer in this snapshot: ABBVIE INC. ($37).

Total Amount

$195

General + Research + Ownership

Payments

11

Total payment records

General Amount

$195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-23

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: 2022-10-12

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
I20221012000240INurse PractitionerCOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes112108$0
99203New patient office or other outpatient visit, 30-44 minutes4242$0
81003Automated urinalysis test3534$0
99214Established patient office or other outpatient visit, 30-39 minutes3230$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected2525$0
View full utilization report →

Insurance plans in this area (ZIP 80924)

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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: 9638208549View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATELYN DAKOTA JAE MCINTOSH (FNP-C)?
KATELYN DAKOTA JAE MCINTOSH (FNP-C) — NPI 1497316657 — is the standard way to identify this listing.
Can I rely on KATELYN DAKOTA JAE MCINTOSH (FNP-C) being an active provider?
As of the registry snapshot, KATELYN DAKOTA JAE MCINTOSH (FNP-C) is marked active.
What taxonomy line describes KATELYN DAKOTA JAE MCINTOSH (FNP-C)?
For research purposes, treat KATELYN DAKOTA JAE MCINTOSH (FNP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does KATELYN DAKOTA JAE MCINTOSH (FNP-C) list a practice location?
Patients near Colorado Springs, Colorado may find KATELYN DAKOTA JAE MCINTOSH (FNP-C) in results; validate coverage separately.
Why does KATELYN DAKOTA JAE MCINTOSH (FNP-C) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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