MRS. KATRINA MARY DOLL (NP-C) – Nurse Practitioner, NPI 1063765667

MRS. KATRINA MARY DOLL (NP-C) is a healthcare provider. based in Wichita, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 57-75730-071 (KS). The NPI Number for MRS. KATRINA MARY DOLL (NP-C) is 1063765667

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATRINA MARY DOLL (NP-C)
NPI
1063765667
Phone
(316) 685-6222
Address
3243 E MURDOCK ST
Enumeration Date
19 October 2012
Last Update Date
19 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3166856222
Graduation Year
2012 (14 years ago)
PAC ID
7911141684
Group Practice PAC ID
8224023445
Professional Enrollment ID
I20130918000866
Address ID
KS672083007WI3243XSTXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for MRS. KATRINA MARY DOLL (NP-C)

  • 3243 E MURDOCK ST

    SUITE 404

    WICHITA, KS 672083052

    Phone: (316) 685-6222

    Fax: (316) 685-1273

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-09-02 • Largest payer in this snapshot: Aroa Biosurgery Incorporated ($69).

Total Amount

$84

General + Research + Ownership

Payments

4

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-02

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: 2013-09-18

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
I20130918000866INurse PractitionerKSTBD

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 67208)

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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: 8224023445View full group profile
NameSpecialtyState
General SurgeryKS
General SurgeryKS
General Surgery, Critical Care (Intensivists)KS
General SurgeryKS
Physician AssistantKS
Physician AssistantKS
General SurgeryKS
Physician AssistantKS
Physician AssistantMO
General SurgeryKS

Reviews

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Frequently asked questions

How do I look up MRS. KATRINA MARY DOLL (NP-C) by NPI?
Use NPI 1063765667 when you need to reference MRS. KATRINA MARY DOLL (NP-C) in forms, claims, or directories.
Does this profile mean MRS. KATRINA MARY DOLL (NP-C) is currently active?
Yes — MRS. KATRINA MARY DOLL (NP-C) appears active in the national provider directory.
Can you summarize MRS. KATRINA MARY DOLL (NP-C)'s specialty in plain language?
Clinically, the directory lists MRS. KATRINA MARY DOLL (NP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MRS. KATRINA MARY DOLL (NP-C)?
We surface Wichita, Kansas for MRS. KATRINA MARY DOLL (NP-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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