DR. KATHRYN ANNE CARMICHAEL COULSON (MD) – Emergency Medicine Physician, NPI 1104962158

DR. KATHRYN ANNE CARMICHAEL COULSON (MD) is a healthcare provider. based in Liberty, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 2004012226 (MO). The NPI Number for DR. KATHRYN ANNE CARMICHAEL COULSON (MD) is 1104962158

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHRYN ANNE CARMICHAEL COULSON (MD)
NPI
1104962158
Phone
(816) 404-1000
Address
2525 GLENN HENDREN DR
Enumeration Date
29 January 2007
Last Update Date
19 January 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8167927000
Graduation Year
2003 (23 years ago)
PAC ID
8729179270
Group Practice PAC ID
0749544153
Professional Enrollment ID
I20070813000327
Address ID
MO640689625LI2525XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

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Provider Addresses for DR. KATHRYN ANNE CARMICHAEL COULSON (MD)

  • Liberty Hospital, 2525, Glenn Hendren Drive, Liberty, Clay County, Missouri, 64068, United States

    LIBERTY, MO 640689625

    Phone: (816) 404-1000

    Type: Location

  • 2626, Glenn Hendren Drive, Liberty, Clay County, Missouri, 64068, United States

    LIBERTY, MO 64068

    Phone: (816) 792-7000

    Type: Mailing

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: 2007-08-13

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
I20070813000327IEmergency MedicineMOTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only351234$0
99285Emergency department visit with high level of medical decision making302287$0
99291Critical care, first 30-74 minutes5555$0
99284Emergency department visit with moderate level of medical decision making2727$0
View full utilization report →

Insurance plans in this area (ZIP 64068)

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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: 0749544153View full group profile
NameSpecialtyState
Emergency MedicineKS
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineKS
Emergency MedicineMO

Reviews

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Frequently asked questions

Does DR. KATHRYN ANNE CARMICHAEL COULSON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KATHRYN ANNE CARMICHAEL COULSON (MD) uses 1104962158.
Can I rely on DR. KATHRYN ANNE CARMICHAEL COULSON (MD) being an active provider?
As of the registry snapshot, DR. KATHRYN ANNE CARMICHAEL COULSON (MD) is marked active.
What taxonomy line describes DR. KATHRYN ANNE CARMICHAEL COULSON (MD)?
For research purposes, treat DR. KATHRYN ANNE CARMICHAEL COULSON (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KATHRYN ANNE CARMICHAEL COULSON (MD) on a map?
Expect Liberty, Missouri as a primary anchor for DR. KATHRYN ANNE CARMICHAEL COULSON (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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