LACY KATOWICH (FNP) – Family Nurse Practitioner, NPI 1902421076
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for LACY KATOWICH (FNP)
27217 SHIVELY RD
WALKERTON, IN 465748730
Phone: (574) 656-3317
Type: Mailing
1300 ACADEMY RD
CULVER, IN 465111291
Phone: (572) 842-7852
Type: Mailing
1802 DAY RD
MISHAWAKA, IN 465454329
Phone: (572) 204-7200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 108 Open Payments records for all available years, with a total value of $2,383.
Total Amount is formed as General ($2,383) + Research ($0) + Ownership ($0) = $2,383.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Amgen Inc. ($367).
Total Amount
$2,383
General + Research + Ownership
Payments
108
Total payment records
General Amount
$2,383
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $367 |
| E.R. Squibb & Sons, L.L.C. | $304 |
| GENZYME CORPORATION | $257 |
| Incyte Corporation | $234 |
| ABBVIE INC. | $133 |
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: 2023-04-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230420000411 | I | Nurse Practitioner | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 786 | 186 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 324 | 291 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 317 | 259 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 223 | 198 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 157 | 79 | $0 |
Insurance plans in this area (ZIP 46574)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| - | IN | |
| Family Practice | KY | |
| Family Practice | IN | |
| O P H T H A L M O L O G Y | IN | |
| Physician Assistant | IN | |
| Family Practice | IN |
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