KAITIE ANN WORLEY (PA) – Physician Assistant, NPI 1194211466

KAITIE ANN WORLEY (PA) is a healthcare provider. based in Altoona, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 092630 (IA). The NPI Number for KAITIE ANN WORLEY (PA) is 1194211466

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KAITIE ANN WORLEY (PA)
NPI
1194211466
Phone
Not provided
Address
3770 8TH ST SW STE B
Enumeration Date
10 July 2018
Last Update Date
4 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5158759100
Graduation Year
2018 (8 years ago)
PAC ID
6103174693
Group Practice PAC ID
4082513742
Professional Enrollment ID
I20180731001335
Address ID
IA501253702IN1504XSTXX400
Telehealth
Yes

Contacts

Secure Messaging
kaitieworley@tic.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

1,649 PHYSICIAN ASSISTANT in IA

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Provider Addresses for KAITIE ANN WORLEY (PA)

  • Berkshire Hathaway Home Services First Realty, 3770, 8th Street Southwest, Altoona, Polk County, Iowa, 50009, United States

    ALTOONA, IA 500091048

    Phone:

    Type: Mailing

  • 5950 UNIVERSITY AVE STE 221

    WEST DES MOINES, IA 502668231

    Phone: (515) 875-9115

    Fax: (515) 875-9117

    Type: Location

  • PO BOX 424

    DES MOINES, IA 503020424

    Phone: (515) 875-9255

    Fax: (515) 875-9223

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($110).

Total Amount

$124

General + Research + Ownership

Payments

2

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-07-31

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
I20180731001335IPhysician 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 50009)

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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: 4082513742View full group profile
NameSpecialtyState
Family PracticeIA
Nurse PractitionerIA
P O D I A T R YIA
Internal MedicineIA
Family PracticeIA
-IA
Family PracticeIA
Orthopedic SurgeryMO
Internal MedicineIA
Family PracticeIA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KAITIE ANN WORLEY (PA)?
KAITIE ANN WORLEY (PA) — NPI 1194211466 — is the standard way to identify this listing.
Does CMS list KAITIE ANN WORLEY (PA) as active?
Yes — KAITIE ANN WORLEY (PA) is active in the NPI listing used on this page.
What taxonomy line describes KAITIE ANN WORLEY (PA)?
For research purposes, treat KAITIE ANN WORLEY (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KAITIE ANN WORLEY (PA)?
KAITIE ANN WORLEY (PA)'s geographic hint is Altoona, Iowa in our summary view.
Why does KAITIE ANN WORLEY (PA) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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