MRS. KATIE LYN WHITACRE (NP) – Family Nurse Practitioner, NPI 1053890012

MRS. KATIE LYN WHITACRE (NP) is a healthcare provider. based in Barberton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 023437 (OH). The NPI Number for MRS. KATIE LYN WHITACRE (NP) is 1053890012

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATIE LYN WHITACRE (NP)
NPI
1053890012
Phone
(330) 615-3906
Address
155 5th St NE
Enumeration Date
10 August 2018
Last Update Date
11 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
0749534840
Group Practice PAC ID
2961303532
Professional Enrollment ID
I20181108000090
Address ID
OH443041619AK525XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. KATIE LYN WHITACRE (NP)

  • 155 5th St NE

    Barberton, OH 442033332

    Phone: (330) 615-3906

    Fax: (330) 615-3908

    Type: Location

  • 600 PORTAGE TRL STE A

    CUYAHOGA FALLS, OH 442213055

    Phone: (330) 808-1664

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 150 Open Payments records for all available years, with a total value of $1,645.

Total Amount is formed as General ($1,645) + Research ($0) + Ownership ($0) = $1,645.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Smith+Nephew, Inc. ($991).

Total Amount

$1,645

General + Research + Ownership

Payments

150

Total payment records

General Amount

$1,645

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2018-11-08

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
I20181108000090INurse PractitionerOHTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes667204$0
11042Removal of skin and tissue, 20.0 sq cm or less375110$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes11867$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes11173$0
11045Removal of skin and tissue, each additional 20.0 sq cm or less6617$0
View full utilization report →

Insurance plans in this area (ZIP 44203)

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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: 2961303532View full group profile
NameSpecialtyState
Nurse PractitionerGA
-OH
Critical Care (Intensivists)KY
-OH
Family PracticeOH
Family PracticeOH
Cardiovascular Disease (Cardiology)OH
N E P H R O L O G YOH
Nurse PractitionerOH
General SurgeryIL

Reviews

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Frequently asked questions

How is MRS. KATIE LYN WHITACRE (NP) identified in CMS data?
CMS-hosted NPPES data lists MRS. KATIE LYN WHITACRE (NP) with NPI 1053890012.
Is MRS. KATIE LYN WHITACRE (NP) still practicing?
MRS. KATIE LYN WHITACRE (NP) is currently listed as active in the public NPI registry.
What healthcare role does MRS. KATIE LYN WHITACRE (NP) hold?
Scheduling teams often label MRS. KATIE LYN WHITACRE (NP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. KATIE LYN WHITACRE (NP)?
MRS. KATIE LYN WHITACRE (NP)'s geographic hint is Barberton, Ohio in our summary view.
Why does MRS. KATIE LYN WHITACRE (NP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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