KATIE LYNN BARRETT – Certified Registered Nurse Anesthetist, NPI 1487235321

KATIE LYNN BARRETT is a healthcare provider. based in Jacksonville, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 132525 (MO). The NPI Number for KATIE LYNN BARRETT is 1487235321

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KATIE LYNN BARRETT
NPI
1487235321
Phone
Not provided
Address
20 APPLEBEE FARMS DR
Enumeration Date
20 April 2021
Last Update Date
21 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172459541
Graduation Year
2021 (5 years ago)
PAC ID
7113313198
Group Practice PAC ID
2961681523
Professional Enrollment ID
I20220330001967
Address ID
IL626501199JA1600XWALN300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for KATIE LYNN BARRETT

  • 20 APPLEBEE FARMS DR

    JACKSONVILLE, IL 626501392

    Phone:

    Type: Mailing

  • 1600 W WALNUT ST

    JACKSONVILLE, IL 626501136

    Phone: (217) 245-9541

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

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: 2022-03-30

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
I20220330001967ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00142Anesthesia for lens surgery2120$0
00812Anesthesia for exam of colon using an endoscope1515$0
00811Anesthesia for other procedure on large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 62650)

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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: 2961681523View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)IL
Anesthesiology, Pain ManagementIN
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

How is KATIE LYNN BARRETT identified in CMS data?
CMS-hosted NPPES data lists KATIE LYNN BARRETT with NPI 1487235321.
Is KATIE LYNN BARRETT listed as active for patients and plans?
The listing shows KATIE LYNN BARRETT as active in the NPI system.
What is KATIE LYNN BARRETT's specialty?
The listing groups KATIE LYNN BARRETT with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is KATIE LYNN BARRETT based?
KATIE LYNN BARRETT is tied to Jacksonville, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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