KATHERINE JEAN WADSWORTH (FNP-BC) – Family Nurse Practitioner, NPI 1508588708

KATHERINE JEAN WADSWORTH (FNP-BC) is a healthcare provider. based in Crown point, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 71013030A (IN). The NPI Number for KATHERINE JEAN WADSWORTH (FNP-BC) is 1508588708

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE JEAN WADSWORTH (FNP-BC)
NPI
1508588708
Phone
(574) 546-1900
Address
2100 N Main St Ste 304
Enumeration Date
14 September 2022
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7657175399
Graduation Year
2018 (8 years ago)
PAC ID
1456736701
Group Practice PAC ID
7315291382
Professional Enrollment ID
I20220922001359
Address ID
IN473044517MU1107XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for KATHERINE JEAN WADSWORTH (FNP-BC)

  • 2100 N Main St Ste 304

    Crown Point, IN 463071877

    Phone: (574) 546-1900

    Fax: (574) 546-1999

    Type: Location

  • 409 SE Greenville Ave

    Winchester, IN 473949464

    Phone: (765) 584-0480

    Type: Location

  • 330 N Wabash Ave Ste 470

    Marion, IN 469522685

    Phone: (765) 717-5399

    Type: Location

  • 2451 Intelliplex Dr Ste 250

    Shelbyville, IN 461768581

    Phone: (765) 717-5399

    Type: Location

  • 1007 N 16th St

    New Castle, IN 473624320

    Phone: (765) 717-5399

    Type: Location

  • 900 Sim Hodgin Pkwy

    Richmond, IN 473741932

    Phone: (765) 717-5399

    Type: Location

  • 2705 S Berkley Rd Ste 4D

    Kokomo, IN 469028007

    Phone: (765) 717-5399

    Type: Location

  • 813 N Lincoln St

    Greensburg, IN 472401330

    Phone: (765) 717-5399

    Type: Location

  • 2100 N MAIN ST STE 304

    CROWN POINT, IN 463071877

    Phone: (574) 546-1900

    Fax: (574) 546-1999

    Type: Mailing

  • 1107 S TILLOTSON AVE

    MUNCIE, IN 473044517

    Phone: (765) 717-5399

    Fax: (855) 792-0451

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $780.

Total Amount is formed as General ($780) + Research ($0) + Ownership ($0) = $780.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($272).

Total Amount

$780

General + Research + Ownership

Payments

45

Total payment records

General Amount

$780

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2022-09-22

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
I20220922001359INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46307)

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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: 7315291382View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Family Practice, Obstetrics/GynecologyIN
-IN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Rheumatology, Internal MedicineIN

Reviews

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Frequently asked questions

Does KATHERINE JEAN WADSWORTH (FNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATHERINE JEAN WADSWORTH (FNP-BC) uses 1508588708.
Can I rely on KATHERINE JEAN WADSWORTH (FNP-BC) being an active provider?
As of the registry snapshot, KATHERINE JEAN WADSWORTH (FNP-BC) is marked active.
What healthcare role does KATHERINE JEAN WADSWORTH (FNP-BC) hold?
Scheduling teams often label KATHERINE JEAN WADSWORTH (FNP-BC) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KATHERINE JEAN WADSWORTH (FNP-BC) on a map?
Expect Crown Point, Indiana as a primary anchor for KATHERINE JEAN WADSWORTH (FNP-BC) unless the record lists multiple sites.
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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