KATHERINE MARIE HAFER (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1639695067

KATHERINE MARIE HAFER (PMHNP-BC) is a healthcare provider. based in Beech grove, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 71007398A (IN). The NPI Number for KATHERINE MARIE HAFER (PMHNP-BC) is 1639695067

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE MARIE HAFER (PMHNP-BC)
NPI
1639695067
Phone
(317) 441-6640
Address
1216 ROTHERHAM LN
Enumeration Date
17 August 2017
Last Update Date
17 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7657434400
Graduation Year
2017 (9 years ago)
PAC ID
0143595231
Group Practice PAC ID
8921490681
Professional Enrollment ID
I20170928002511
Address ID
IN479050785LA833XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

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Provider Addresses for KATHERINE MARIE HAFER (PMHNP-BC)

  • 1216, Rotherham Lane, Indianapolis, Marion, Indiana, 46107, United States

    BEECH GROVE, IN 461073323

    Phone: (317) 441-6640

    Type: Mailing

  • 833, Park East Boulevard, Cascada Business Park, Lafayette, Tippecanoe County, Indiana, 47905, United States

    LAFAYETTE, IN 479050785

    Phone: (765) 743-4400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $1,091.

Total Amount is formed as General ($1,091) + Research ($0) + Ownership ($0) = $1,091.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($648).

Total Amount

$1,091

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,091

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2017-09-28

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
I20170928002511INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2312$0
View full utilization report →

Insurance plans in this area (ZIP 46107)

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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: 8921490681View full group profile
NameSpecialtyState
Nurse PractitionerIN
Pathology, PsychiatryTX
Nurse PractitionerIN
P S Y C H I A T R YIN
Nurse PractitionerIN
Nurse PractitionerTX
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is the standard ID for KATHERINE MARIE HAFER (PMHNP-BC) in the U.S.?
In the U.S., KATHERINE MARIE HAFER (PMHNP-BC) is identified by NPI 1639695067.
Is KATHERINE MARIE HAFER (PMHNP-BC)'s NPI status active today?
Active status means KATHERINE MARIE HAFER (PMHNP-BC)'s NPI record is not deactivated in the public file.
What type of care does KATHERINE MARIE HAFER (PMHNP-BC) provide?
KATHERINE MARIE HAFER (PMHNP-BC)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to KATHERINE MARIE HAFER (PMHNP-BC)?
The directory associates KATHERINE MARIE HAFER (PMHNP-BC) with Beech Grove, Indiana. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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