KATIE JO KMIECIK (FNP) – Nurse Practitioner, NPI 1629461280

KATIE JO KMIECIK (FNP) is a healthcare provider. based in Omaha, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1107048 (TX). The NPI Number for KATIE JO KMIECIK (FNP) is 1629461280

Main info

Female
12 Years Of Experience
Name
KATIE JO KMIECIK (FNP)
NPI
1629461280
Phone
Not provided
Address
988102 NEBRASKA MEDICAL CTR
Enumeration Date
6 March 2015
Last Update Date
27 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2817893400
Graduation Year
2014 (12 years ago)
PAC ID
7810215688
Group Practice PAC ID
1355665795
Professional Enrollment ID
I20240302000037
Address ID
TX773546039MA32784RDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

Provider Addresses for KATIE JO KMIECIK (FNP)

  • 988102 NEBRASKA MEDICAL CTR

    OMAHA, NE 681988102

    Phone:

    Type: Mailing

  • 2510 BELLEVUE MEDICAL CENTER DR STE 200

    BELLEVUE, NE 68123

    Phone: (402) 595-2275

    Fax: (402) 595-1970

    Type: Location

  • 23865 FM 1314 RD

    PORTER, TX 773653727

    Phone: (281) 354-1815

    Type: Mailing

  • PO BOX 32789

    PALM BEACH GARDENS, FL 334202789

    Phone: (561) 327-4970

    Fax: (561) 823-0829

    Type: Mailing

  • 3555 KRAFT RD UNIT 200

    NAPLES, FL 341055043

    Phone: (239) 359-6074

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Boston Scientific Corporation ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-03-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150408001402INurse PractitionerNETBD
I20240302000037INurse PractitionerTXTBD

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
J2182Injection, mepolizumab, 1 mg3,60014$0
J0897Injection, denosumab, 1 mg1,92032$0
96372Injection of drug or substance under skin or into muscle8756$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less3524$0
View full utilization report →

Insurance plans in this area (ZIP 68198)

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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: 1355665795View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family PracticeTN
Emergency MedicineNY
-TX
Emergency MedicineTX
Nurse PractitionerCA
Emergency MedicineTX
Emergency MedicineOH
-TX
Emergency MedicineTX

Reviews

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Frequently asked questions

What federal number belongs to KATIE JO KMIECIK (FNP)?
The federal identifier for KATIE JO KMIECIK (FNP) is NPI 1629461280.
Is KATIE JO KMIECIK (FNP)'s NPI currently valid?
The extract we use shows KATIE JO KMIECIK (FNP) as active.
Can you summarize KATIE JO KMIECIK (FNP)'s specialty in plain language?
Clinically, the directory lists KATIE JO KMIECIK (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KATIE JO KMIECIK (FNP)?
The snapshot lists Omaha, Nebraska for KATIE JO KMIECIK (FNP); download NPPES for the complete set.
Is KATIE JO KMIECIK (FNP) a real provider?
This page reflects official NPPES data for NPI 1629461280. Always confirm identity and privileges with the practice and licensing boards.

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