MRS. KATELYN MICHELLE OBERMILLER (FNP-BC) – Family Nurse Practitioner, NPI 1639510597

MRS. KATELYN MICHELLE OBERMILLER (FNP-BC) is a healthcare provider. based in Freeport, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. COA. 14751-NP (OH). The NPI Number for MRS. KATELYN MICHELLE OBERMILLER (FNP-BC) is 1639510597

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATELYN MICHELLE OBERMILLER (FNP-BC)
NPI
1639510597
Phone
(330) 340-6695
Address
74004 DRY RIDGE RD
Enumeration Date
8 July 2013
Last Update Date
8 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7409220000
Graduation Year
2013 (13 years ago)
PAC ID
0042453862
Group Practice PAC ID
6204004534
Professional Enrollment ID
I20130827000336
Address ID
OH446211003DE819XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. KATELYN MICHELLE OBERMILLER (FNP-BC)

  • 74004 DRY RIDGE RD

    FREEPORT, OH 439739703

    Phone: (330) 340-6695

    Type: Mailing

  • 819 N 1ST ST

    DENNISON, OH 446211003

    Phone: (740) 922-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $991.

Total Amount is formed as General ($991) + Research ($0) + Ownership ($0) = $991.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($223).

Total Amount

$991

General + Research + Ownership

Payments

58

Total payment records

General Amount

$991

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2013-08-27

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
I20130827000336INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43973)

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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: 6204004534View full group profile
NameSpecialtyState
-OH
Emergency Medicine, Family PracticeOH
Emergency MedicineOH
Family PracticeOH
Emergency MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
General SurgeryOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. KATELYN MICHELLE OBERMILLER (FNP-BC)'s NPI?
Yes. MRS. KATELYN MICHELLE OBERMILLER (FNP-BC) is listed with NPI 1639510597 in the public NPI dataset.
Does the file indicate MRS. KATELYN MICHELLE OBERMILLER (FNP-BC) is practicing under active NPI?
Directory data currently reports MRS. KATELYN MICHELLE OBERMILLER (FNP-BC) as active.
What is MRS. KATELYN MICHELLE OBERMILLER (FNP-BC) best known for clinically?
Directory data describes MRS. KATELYN MICHELLE OBERMILLER (FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MRS. KATELYN MICHELLE OBERMILLER (FNP-BC) serve?
MRS. KATELYN MICHELLE OBERMILLER (FNP-BC)'s listing highlights Freeport, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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