KATANA M BOYD – Family Nurse Practitioner, NPI 1073052296

KATANA M BOYD is a healthcare provider. based in Cape girardea, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2017004147 (MO). The NPI Number for KATANA M BOYD is 1073052296

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATANA M BOYD
NPI
1073052296
Phone
(573) 332-7746
Address
1723 BROADWAY
Enumeration Date
21 February 2017
Last Update Date
16 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733312600
Graduation Year
2016 (10 years ago)
PAC ID
8921384504
Group Practice PAC ID
9133024334
Professional Enrollment ID
I20170413001900
Address ID
MO637036383CA817XXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

7,065 NURSE PRACTITIONER in MO

Provider Addresses for KATANA M BOYD

  • 1723 BROADWAY

    SUITE 410

    CAPE GIRARDEA, MO 637014556

    Phone: (573) 332-7746

    Fax: (573) 339-9709

    Type: Location

  • 1723, Broadway Street, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States

    SUITE 410

    CAPE GIRARDEAU, MO 637014556

    Phone: (573) 332-7746

    Fax: (573) 339-9709

    Type: Mailing

  • 817 S MOUNT AUBURN RD

    CAPE GIRARDEAU, MO 637036383

    Phone: (735) 519-4500

    Fax: (573) 519-4530

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 91 Open Payments records for all available years, with a total value of $1,463.

Total Amount is formed as General ($1,463) + Research ($0) + Ownership ($0) = $1,463.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($454).

Total Amount

$1,463

General + Research + Ownership

Payments

91

Total payment records

General Amount

$1,463

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

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: 2017-04-13

PECOS data refreshed: 2026-06-15

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
I20170413001900INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63701)

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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: 9133024334View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YKY
Nurse PractitionerMO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)IL
-MO
O B S T E T R I C S/ G Y N E C O L O G YAR
-IL
Certified Registered Nurse Anesthetist (Crna)CO

Reviews

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Frequently asked questions

Does KATANA M BOYD share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATANA M BOYD uses 1073052296.
Does the file indicate KATANA M BOYD is practicing under active NPI?
Directory data currently reports KATANA M BOYD as active.
What taxonomy line describes KATANA M BOYD?
For research purposes, treat KATANA M BOYD as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KATANA M BOYD?
KATANA M BOYD's geographic hint is Cape Girardea, Missouri in our summary view.
Why does KATANA M BOYD have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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