KATELYN JULE KLOSTERMAN – Family Medicine Physician, NPI 1003312422

KATELYN JULE KLOSTERMAN is a healthcare provider. based in Indianapolis, Indiana. specializing in FAMILY PRACTICE. They hold a License No. 01085288A (IN). The NPI Number for KATELYN JULE KLOSTERMAN is 1003312422

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN JULE KLOSTERMAN
NPI
1003312422
Phone
(317) 338-7510
Address
8414 NAAB RD STE 120
Enumeration Date
4 April 2018
Last Update Date
24 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
7517214877
Group Practice PAC ID
5092614867
Professional Enrollment ID
I20231003001288
Address ID
IL624011638EF1303XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,862 FAMILY PRACTICE in IN

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Provider Addresses for KATELYN JULE KLOSTERMAN

  • Naab Road, Indianapolis, Indiana, 46260, United States

    INDIANAPOLIS, IN 462601972

    Phone: (317) 338-7510

    Type: Location

  • 5492 N RONALD REAGAN PKWY

    STE 250

    BROWNSBURG, IN 461125618

    Phone: (317) 852-3851

    Fax: (317) 852-1246

    Type: Mailing

  • PO BOX 372

    MATTOON, IL 619380372

    Phone:

    Type: Mailing

  • 1303 W EVERGREEN AVE STE 202

    EFFINGHAM, IL 624011638

    Phone: (217) 238-4634

    Fax: (217) 342-3402

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $430.

Total Amount is formed as General ($430) + Research ($0) + Ownership ($0) = $430.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Lilly USA, LLC ($123).

Total Amount

$430

General + Research + Ownership

Payments

24

Total payment records

General Amount

$430

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2023-10-03

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
I20231003001288IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9066$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1414$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 46260)

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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: 5092614867View full group profile
NameSpecialtyState
-IL
Internal MedicineIL
-IL
Family PracticeIL
Nurse PractitionerIL
Family PracticeIL
Infectious DiseaseIL
Nurse PractitionerIL
Nurse PractitionerIL
Orthopedic Surgery, Hand SurgeryIL

Reviews

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Frequently asked questions

How is KATELYN JULE KLOSTERMAN identified in CMS data?
CMS-hosted NPPES data lists KATELYN JULE KLOSTERMAN with NPI 1003312422.
Is KATELYN JULE KLOSTERMAN still practicing?
KATELYN JULE KLOSTERMAN is currently listed as active in the public NPI registry.
What is KATELYN JULE KLOSTERMAN's primary classification?
Family Medicine Physician is the headline specialty for KATELYN JULE KLOSTERMAN here. Clinical services aligned with this taxonomy classification.
Where is KATELYN JULE KLOSTERMAN based?
KATELYN JULE KLOSTERMAN is tied to Indianapolis, Indiana in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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