KATELYN MOKROS (PA-C) – Physician Assistant, NPI 1104601780

KATELYN MOKROS (PA-C) is a healthcare provider. based in Lebanon, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for KATELYN MOKROS (PA-C) is 1104601780

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN MOKROS (PA-C)
NPI
1104601780
Phone
(513) 932-1936
Address
1470 N BROADWAY ST STE 100
Enumeration Date
30 August 2023
Last Update Date
30 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5139343037
Graduation Year
2023 (3 years ago)
PAC ID
8729432661
Group Practice PAC ID
5698715803
Professional Enrollment ID
I20230927001121
Address ID
OH450361762LE1470XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for KATELYN MOKROS (PA-C)

  • 1470 N BROADWAY ST STE 100

    LEBANON, OH 450361762

    Phone: (513) 932-1936

    Fax: (513) 932-3105

    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)

CMS reports 71 Open Payments records for all available years, with a total value of $1,226.

Total Amount is formed as General ($1,226) + Research ($0) + Ownership ($0) = $1,226.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($334).

Total Amount

$1,226

General + Research + Ownership

Payments

71

Total payment records

General Amount

$1,226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2023-09-27

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
I20230927001121IPhysician AssistantOHTBD

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 minutes2323$0
99214Established patient office or other outpatient visit, 30-39 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 45036)

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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: 5698715803View full group profile
NameSpecialtyState
-OH
Physician AssistantTX
Physician AssistantOH

Reviews

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Frequently asked questions

What is the standard ID for KATELYN MOKROS (PA-C) in the U.S.?
In the U.S., KATELYN MOKROS (PA-C) is identified by NPI 1104601780.
Should I treat KATELYN MOKROS (PA-C) as an active provider?
Patients and plans typically see KATELYN MOKROS (PA-C) as active in the national extract.
What type of care does KATELYN MOKROS (PA-C) provide?
KATELYN MOKROS (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KATELYN MOKROS (PA-C) tied to Lebanon, Ohio?
If you are local to Lebanon, Ohio, KATELYN MOKROS (PA-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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