MRS. KATELYN ERWIN – Nurse Practitioner, NPI 1205445863

MRS. KATELYN ERWIN is a healthcare provider. based in Nevada, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2020024672 (MO). The NPI Number for MRS. KATELYN ERWIN is 1205445863

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATELYN ERWIN
NPI
1205445863
Phone
(417) 667-3355
Address
800 S ASH ST
Enumeration Date
29 July 2020
Last Update Date
27 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4176673355
Graduation Year
2020 (6 years ago)
PAC ID
3072930858
Group Practice PAC ID
9830095280
Professional Enrollment ID
I20200825000915
Address ID
MO647723223NE800XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MRS. KATELYN ERWIN

  • 800 S ASH ST

    NEVADA, MO 647723224

    Phone: (417) 667-3355

    Type: Mailing

  • 627 S ASH ST

    NEVADA, MO 647723218

    Phone: (417) 448-3600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: ABBVIE INC. ($36).

Total Amount

$134

General + Research + Ownership

Payments

7

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

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: 2020-08-25

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
I20200825000915INurse 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 64772)

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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: 9830095280View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YMO
General SurgeryMO
Pulmonary Disease, Critical Care (Intensivists)MO
-MO
Internal MedicineVA
-MO
N E U R O L O G YMO
Obstetrics/Gynecology, Family PracticeMO
-MO
Clinical Social WorkerMO

Reviews

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Frequently asked questions

Can I verify MRS. KATELYN ERWIN with an NPI only?
You can start verification with NPI 1205445863 for MRS. KATELYN ERWIN, then check state licensing separately.
Can I rely on MRS. KATELYN ERWIN being an active provider?
As of the registry snapshot, MRS. KATELYN ERWIN is marked active.
What taxonomy line describes MRS. KATELYN ERWIN?
For research purposes, treat MRS. KATELYN ERWIN as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does MRS. KATELYN ERWIN serve?
MRS. KATELYN ERWIN's listing highlights Nevada, Missouri; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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