KATHLEEN ROUSSEAU (ARNP, FNP-C, PMHNP) – Family Nurse Practitioner, NPI 1053783175
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for KATHLEEN ROUSSEAU (ARNP, FNP-C, PMHNP)
1105 N ANKENY BLVD
ANKENY, IA 500234003
Phone: (515) 964-4600
Fax: (515) 963-4142
Type: Mailing
2900 WESTOWN PKWY STE 130
WEST DES MOINES, IA 502661315
Phone: (515) 227-6065
Fax: (833) 907-2405
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $708.
Total Amount is formed as General ($708) + Research ($0) + Ownership ($0) = $708.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($179).
Total Amount
$708
General + Research + Ownership
Payments
16
Total payment records
General Amount
$708
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 |
|---|---|
| Vanda Pharmaceuticals Inc. | $179 |
| ABBVIE INC. | $144 |
| Janssen Pharmaceuticals, Inc | $120 |
| Axsome Therapeutics, Inc. | $88 |
| AstraZeneca Pharmaceuticals LP | $73 |
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: 2015-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (920 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20151120000084 | I | Nurse Practitioner | IA | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 108 | 100 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 48 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 21 | 21 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 20 | 19 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 50023)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Infectious Disease, Internal Medicine | IA | |
| Family Practice | IA | |
| Internal Medicine, Hospitalist | IL | |
| - | IA | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Physician Assistant | IA | |
| - | IA |
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