KATHRYN GENEVIEVE DEMPSEY (PA) – Physician Assistant, NPI 1114603867

KATHRYN GENEVIEVE DEMPSEY (PA) is a healthcare provider. based in Council bluffs, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 129796 (IA). The NPI Number for KATHRYN GENEVIEVE DEMPSEY (PA) is 1114603867

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN GENEVIEVE DEMPSEY (PA)
NPI
1114603867
Phone
(712) 325-1990
Address
902 S 6TH ST
Enumeration Date
27 June 2023
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
7123251990
Graduation Year
2024 (2 years ago)
PAC ID
8123548047
Group Practice PAC ID
0547241390
Professional Enrollment ID
I20250222000260
Address ID
IA515016441CO902XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,648 PHYSICIAN ASSISTANT in IA

Provider Addresses for KATHRYN GENEVIEVE DEMPSEY (PA)

  • 902 S 6TH ST

    COUNCIL BLUFFS, IA 515016441

    Phone: (712) 325-1990

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-22

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
I20250222000260IPhysician AssistantIATBD

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 51501)

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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: 0547241390View full group profile
NameSpecialtyState
Physician AssistantNM
Nurse PractitionerIA
Clinical Social WorkerNE
Family PracticeIA
Clinical Social WorkerCO
Physician AssistantNE
Internal Medicine, Pediatric MedicineIA
Clinical Social WorkerIA
Nurse PractitionerIA
Mental Health CounselorIA

Reviews

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Frequently asked questions

What federal number belongs to KATHRYN GENEVIEVE DEMPSEY (PA)?
The federal identifier for KATHRYN GENEVIEVE DEMPSEY (PA) is NPI 1114603867.
Is KATHRYN GENEVIEVE DEMPSEY (PA) currently active in the NPI registry?
CMS-published data lists KATHRYN GENEVIEVE DEMPSEY (PA) as an active registrant.
Does KATHRYN GENEVIEVE DEMPSEY (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for KATHRYN GENEVIEVE DEMPSEY (PA). Clinical services aligned with this taxonomy classification.
Where does public data place KATHRYN GENEVIEVE DEMPSEY (PA)?
The snapshot lists Council Bluffs, Iowa for KATHRYN GENEVIEVE DEMPSEY (PA); download NPPES for the complete set.
Is KATHRYN GENEVIEVE DEMPSEY (PA) a real provider?
This page reflects official NPPES data for NPI 1114603867. Always confirm identity and privileges with the practice and licensing boards.

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