KATIE MARIE MEAHAN (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1336605567
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for KATIE MARIE MEAHAN (AGACNP-BC)
212 GRAYLEAF CT
WENTZVILLE, MO 633856216
Phone: (314) 707-5676
Type: Mailing
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 631101003
Phone: (314) 747-3000
Type: Location
5243 E THUNDER HAWK RD
CAVE CREEK, AZ 853315593
Phone: (314) 707-5676
Type: Mailing
250 E DUNLAP AVE
PHOENIX, AZ 850202825
Phone: (602) 943-2381
Type: Location
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: 2021-04-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201026000303 | I | Nurse Practitioner | MO | TBD |
| I20210416000543 | I | Nurse Practitioner | AZ | TBD |
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.
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 63385)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), Pulmonary Disease | AZ | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | AZ | |
| Critical Care (Intensivists), Pulmonary Disease | AZ | |
| Critical Care (Intensivists), Pulmonary Disease | AZ | |
| Pulmonary Disease, Critical Care (Intensivists) | AZ | |
| Nurse Practitioner | AZ | |
| Pulmonary Disease, Critical Care (Intensivists) | AZ |
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