KATHY G. BECKNER (PA-C) – Physician Assistant, NPI 1831209089

KATHY G. BECKNER (PA-C) is a healthcare provider. based in Osage beach, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2000174330 (MO). The NPI Number for KATHY G. BECKNER (PA-C) is 1831209089

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
KATHY G. BECKNER (PA-C)
NPI
1831209089
Phone
(573) 302-3990
Address
1075 Nichols Rd
Enumeration Date
30 August 2006
Last Update Date
24 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733023990
Graduation Year
2000 (26 years ago)
PAC ID
6507868007
Group Practice PAC ID
9133026776
Professional Enrollment ID
I20071127000843
Address ID
MO650653093OS1075XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for KATHY G. BECKNER (PA-C)

  • 1075 Nichols Rd

    Osage Beach, MO 650653093

    Phone: (573) 302-3990

    Type: Location

  • Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom

    SPRINGFIELD, MO 658012580

    Phone: (417) 829-4620

    Fax: (417) 829-4316

    Type: Mailing

  • 331, Hospital Drive, Lebanon, Laclede County, Missouri, 65536, United States

    SUITE A

    LEBANON, MO 655369217

    Phone: (417) 533-6560

    Fax: (417) 533-6580

    Type: Location

  • 54 HOSPITAL DR

    OSAGE BEACH, MO 650653050

    Phone: (573) 348-8399

    Fax: (573) 348-8309

    Type: Mailing

  • 128 E COMMERCIAL ST

    LEBANON, MO 655363257

    Phone: (573) 302-3990

    Fax: (573) 302-2753

    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: 2007-02-13

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
I20070213000481IPhysician AssistantMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5242$0
20610Aspiration and/or injection of fluid from large joint5033$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg3728$0
27447Replacement of knee joint, both sides of knee1212$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 65065)

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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: 9133026776View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
N E U R O L O G YMO
Nurse PractitionerMO
Nurse PractitionerMO
Hematology/Oncology, Internal MedicineMO
Family PracticeMO
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATHY G. BECKNER (PA-C)?
KATHY G. BECKNER (PA-C) — NPI 1831209089 — is the standard way to identify this listing.
Is KATHY G. BECKNER (PA-C) still practicing?
KATHY G. BECKNER (PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes KATHY G. BECKNER (PA-C)?
For research purposes, treat KATHY G. BECKNER (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does KATHY G. BECKNER (PA-C) serve?
KATHY G. BECKNER (PA-C)'s listing highlights Osage Beach, Missouri; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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