KATHRYN M GROTE (CCC-A) – Audiologist, NPI 1205014305

KATHRYN M GROTE (CCC-A) is a healthcare provider. based in Lees summit, Missouri. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials CCC-A. They hold a License No. 2004012753 (MO). The NPI Number for KATHRYN M GROTE (CCC-A) is 1205014305

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN M GROTE (CCC-A)
NPI
1205014305
Phone
(816) 478-4200
Address
4880 NE GOODVIEW CIR
Enumeration Date
31 January 2008
Last Update Date
23 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8167370055
Graduation Year
2003 (23 years ago)
PAC ID
0244306892
Group Practice PAC ID
6901266022
Professional Enrollment ID
I20260416003718
Address ID
MO641335023RA6528XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

230 QUALIFIED AUDIOLOGIST in MO

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Provider Addresses for KATHRYN M GROTE (CCC-A)

  • 4880, Northeast Goodview Circle, Executive Lakes Center, Lee's Summit, Jackson County, Missouri, 64064, United States

    LEES SUMMIT, MO 640641996

    Phone: (816) 478-4200

    Fax: (816) 478-4200

    Type: Mailing

  • 6528 RAYTOWN RD STE D

    RAYTOWN, MO 641331996

    Phone: (816) 737-0055

    Fax: (816) 737-8834

    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: 2008-09-04

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
I20080904000420IQualified AudiologistMOTBD

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 64064)

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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: 6901266022View full group profile
NameSpecialtyState
Qualified AudiologistKS
Qualified AudiologistMO
Qualified AudiologistKS
Qualified AudiologistMO

Reviews

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Frequently asked questions

What unique ID ties claims to KATHRYN M GROTE (CCC-A)?
NPI 1205014305 is assigned to KATHRYN M GROTE (CCC-A) under the national enumeration system.
Is KATHRYN M GROTE (CCC-A)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KATHRYN M GROTE (CCC-A) work in?
You can think of KATHRYN M GROTE (CCC-A) as practicing within Audiologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for KATHRYN M GROTE (CCC-A)?
The page summarizes Lees Summit, Missouri for KATHRYN M GROTE (CCC-A); expand the address list for detail.
Is KATHRYN M GROTE (CCC-A) a real provider?
This page reflects official NPPES data for NPI 1205014305. Always confirm identity and privileges with the practice and licensing boards.

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