MRS. KATRINA MOTLEY (AGNP) – Primary Care Nurse Practitioner, NPI 1174934780

MRS. KATRINA MOTLEY (AGNP) is a healthcare provider. based in Indianapolis, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP. They hold a License No. 28146968A (IN). The NPI Number for MRS. KATRINA MOTLEY (AGNP) is 1174934780

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATRINA MOTLEY (AGNP)
NPI
1174934780
Phone
(317) 924-4545
Address
101 E 34TH ST
Enumeration Date
16 May 2014
Last Update Date
16 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3174290061
Graduation Year
2015 (11 years ago)
PAC ID
2163752791
Group Practice PAC ID
6406935733
Professional Enrollment ID
I20190925001645
Address ID
IN462544693IN3850XDRXX304
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for MRS. KATRINA MOTLEY (AGNP)

  • 101 E 34TH ST

    INDIANAPOLIS, IN 46205

    Phone: (317) 924-4545

    Fax: (317) 927-2167

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 326 Open Payments records for all available years, with a total value of $8,575.

Total Amount is formed as General ($8,575) + Research ($0) + Ownership ($0) = $8,575.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($1,715).

Total Amount

$8,575

General + Research + Ownership

Payments

326

Total payment records

General Amount

$8,575

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2019-09-25

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
I20190925001645INurse PractitionerINTBD

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 minutes18588$0
90792Psychiatric diagnostic evaluation with medical services3838$0
96372Injection of drug or substance under skin or into muscle3213$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 46205)

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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: 6406935733View full group profile
NameSpecialtyState
-IN
Nurse PractitionerIN
General Surgery, Interventional Pain ManagementIN
Clinical Social WorkerIN
Nurse PractitionerIN
Physical Medicine And RehabilitationIN
-IN
Nurse PractitionerIN
-IN
-IN

Reviews

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Frequently asked questions

Is there an official ID for MRS. KATRINA MOTLEY (AGNP) in U.S. healthcare records?
The official identifier for MRS. KATRINA MOTLEY (AGNP) is NPI 1174934780.
Is there an active status for MRS. KATRINA MOTLEY (AGNP)?
For scheduling context, MRS. KATRINA MOTLEY (AGNP) is shown as active in the registry.
What area of care is associated with MRS. KATRINA MOTLEY (AGNP)?
MRS. KATRINA MOTLEY (AGNP)'s record emphasizes Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. KATRINA MOTLEY (AGNP) associated with Indianapolis?
Public fields place MRS. KATRINA MOTLEY (AGNP) around Indianapolis, Indiana. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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