KATHERINE L MULHERIN (N.P.) – Family Nurse Practitioner, NPI 1780902882

KATHERINE L MULHERIN (N.P.) is a healthcare provider. based in Fenton, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 105483 (MO). The NPI Number for KATHERINE L MULHERIN (N.P.) is 1780902882

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE L MULHERIN (N.P.)
NPI
1780902882
Phone
(314) 731-9675
Address
128 MATRIX COMMONS DR
Enumeration Date
13 May 2010
Last Update Date
10 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3147310448
Graduation Year
2009 (17 years ago)
PAC ID
1052614302
Group Practice PAC ID
5991029159
Professional Enrollment ID
I20160121000333
Address ID
MO630421808HA463XXLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for KATHERINE L MULHERIN (N.P.)

  • 128 MATRIX COMMONS DR

    FENTON, MO 630262935

    Phone: (314) 731-9675

    Fax: (636) 349-6850

    Mailing address matches the actual address.

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: 2016-01-21

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
I20160121000333INurse 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 63026)

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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: 5991029159View full group profile
NameSpecialtyState
Physician AssistantKS
Family PracticeCA
Family PracticeMO
-KS
Family PracticeMO
General PracticeNV
Nurse PractitionerMO
Internal Medicine, General PracticeKS
General Practice, Plastic And Reconstructive SurgeryMO
General SurgeryIL

Reviews

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Frequently asked questions

What unique ID ties claims to KATHERINE L MULHERIN (N.P.)?
NPI 1780902882 is assigned to KATHERINE L MULHERIN (N.P.) under the national enumeration system.
Does this profile mean KATHERINE L MULHERIN (N.P.) is currently active?
Yes — KATHERINE L MULHERIN (N.P.) appears active in the national provider directory.
Does KATHERINE L MULHERIN (N.P.) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for KATHERINE L MULHERIN (N.P.). Clinical services aligned with this taxonomy classification.
Does KATHERINE L MULHERIN (N.P.) practice in Missouri?
You will see Fenton, Missouri on file for KATHERINE L MULHERIN (N.P.) alongside any extra practice locations.
What if Fenton, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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