KATHLEEN M OTT (NP) – Nurse Practitioner, NPI 1013465830

KATHLEEN M OTT (NP) is a healthcare provider. based in Joplin, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2008036006 (MO). The NPI Number for KATHLEEN M OTT (NP) is 1013465830

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN M OTT (NP)
NPI
1013465830
Phone
(417) 347-5000
Address
PO BOX 3810
Enumeration Date
21 September 2016
Last Update Date
27 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4174554200
Graduation Year
2016 (10 years ago)
PAC ID
9830477421
Group Practice PAC ID
4284624552
Professional Enrollment ID
I20161102001766
Address ID
MO648501769NE336XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for KATHLEEN M OTT (NP)

  • PO BOX 3810

    JOPLIN, MO 648033810

    Phone: (417) 347-5000

    Fax: (417) 347-6454

    Type: Mailing

  • 1102 W 32ND ST

    STE 300

    JOPLIN, MO 648043503

    Phone: (417) 347-5000

    Fax: (417) 347-6454

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $833.

Total Amount is formed as General ($833) + Research ($0) + Ownership ($0) = $833.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Amgen Inc. ($170).

Total Amount

$833

General + Research + Ownership

Payments

12

Total payment records

General Amount

$833

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2016-11-02

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
I20161102001766INurse PractitionerMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 64803)

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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: 4284624552View full group profile
NameSpecialtyState
Family PracticeMO
-MO
Internal MedicineMO
Emergency MedicineMO
Nurse PractitionerMO
Sleep Medicine, NeurologyMO
Family Practice, HospitalistMO
-MO
General SurgeryMO
Internal MedicineMO

Reviews

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Frequently asked questions

Where can patients find KATHLEEN M OTT (NP)'s NPI?
You can confirm KATHLEEN M OTT (NP) with NPI 1013465830; it appears in the national provider directory.
Is KATHLEEN M OTT (NP) currently active in the NPI registry?
CMS-published data lists KATHLEEN M OTT (NP) as an active registrant.
Can you summarize KATHLEEN M OTT (NP)'s specialty in plain language?
Clinically, the directory lists KATHLEEN M OTT (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KATHLEEN M OTT (NP)?
The snapshot lists Joplin, Missouri for KATHLEEN M OTT (NP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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