KAITLIN M MAASDAM (ARNP) – Nurse Practitioner, NPI 1225681414
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,112 NURSE PRACTITIONER in NE
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Provider Addresses for KAITLIN M MAASDAM (ARNP)
2224, North 51st Street, Omaha, Douglas County, Nebraska, 68104, United States
OMAHA, NE 681044337
Phone: (402) 676-9396
Type: Mailing
CHI Health Creighton University Medical Center - Bergan Mercy, 7500, Mercy Road, Omaha, Douglas County, Nebraska, 68124, United States
OMAHA, NE 681242319
Phone: (402) 398-6060
Type: Location
PO BOX 3360
PORTLAND, OR 972083360
Phone:
Type: Mailing
413 LILLY RD NE
OLYMPIA, WA 985065133
Phone: (360) 493-4083
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $2,145.
Total Amount is formed as General ($2,145) + Research ($0) + Ownership ($0) = $2,145.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,145).
Total Amount
$2,145
General + Research + Ownership
Payments
9
Total payment records
General Amount
$2,145
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $2,145 |
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: 2020-07-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200728000000 | I | Nurse Practitioner | WA | 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 68104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | LA | |
| General Surgery, Vascular Surgery | WA | |
| General Surgery | WA | |
| General Surgery | WA | |
| General Surgery, Vascular Surgery | WA | |
| General Surgery | CO | |
| - | WA |
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