KACEY DAWN POE (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1740904002

KACEY DAWN POE (PMHNP) is a healthcare provider. based in Sullivan, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 71013432A (IN). The NPI Number for KACEY DAWN POE (PMHNP) is 1740904002

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KACEY DAWN POE (PMHNP)
NPI
1740904002
Phone
(812) 780-2080
Address
112 E Jackson St
Enumeration Date
30 September 2022
Last Update Date
2 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122344899
Graduation Year
2022 (4 years ago)
PAC ID
6002282712
Group Practice PAC ID
5496070831
Professional Enrollment ID
I20221021000302
Address ID
IN478024559TE4733XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for KACEY DAWN POE (PMHNP)

  • 112 E Jackson St

    Sullivan, IN 478821527

    Phone: (812) 780-2080

    Fax: (812) 780-2081

    Type: Location

  • 112 E JACKSON ST

    SULLIVAN, IN 478821527

    Phone: (812) 780-2080

    Fax: (812) 780-2081

    Type: Location

  • 185 HOSPITAL LN

    TERRE HAUTE, IN 47802

    Phone: (812) 243-9954

    Fax: (812) 605-5013

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,593.

Total Amount is formed as General ($1,593) + Research ($0) + Ownership ($0) = $1,593.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($477).

Total Amount

$1,593

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,593

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2022-10-21

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
I20221021000302INurse 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 47882)

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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: 5496070831View full group profile
NameSpecialtyState
Nurse PractitionerIL
P S Y C H I A T R YIN
P S Y C H I A T R YIN
Nurse PractitionerIN
Physician AssistantIN
Nurse PractitionerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Is KACEY DAWN POE (PMHNP) listed with a National Provider Identifier?
Yes — KACEY DAWN POE (PMHNP) has NPI 1740904002 on file in the registry.
Is KACEY DAWN POE (PMHNP) still an active registrant?
KACEY DAWN POE (PMHNP) carries an active NPI according to the public dataset.
What kind of doctor is KACEY DAWN POE (PMHNP)?
KACEY DAWN POE (PMHNP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Indiana is KACEY DAWN POE (PMHNP) registered?
Use Sullivan, Indiana as the headline location for KACEY DAWN POE (PMHNP) here.
Can I trust this NPI listing for KACEY DAWN POE (PMHNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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