KATIE CONKLIN (ARNP) – Family Nurse Practitioner, NPI 1235546607

KATIE CONKLIN (ARNP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 105604 (OK). The NPI Number for KATIE CONKLIN (ARNP) is 1235546607

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KATIE CONKLIN (ARNP)
NPI
1235546607
Phone
(503) 253-3910
Address
301 NE KNOTT ST
Enumeration Date
17 July 2014
Last Update Date
2 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032533910
Graduation Year
2014 (12 years ago)
PAC ID
2668792953
Group Practice PAC ID
8325050859
Professional Enrollment ID
I20230517003579
Address ID
OR972123014PO301XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for KATIE CONKLIN (ARNP)

  • 301 NE KNOTT ST

    PORTLAND, OR 972123014

    Phone: (503) 253-3910

    Fax: (503) 253-4297

    Type: Mailing

  • 3000 N GRAND BLVD

    OKLAHOMA CITY, OK 731071818

    Phone: (405) 632-6688

    Fax: (405) 604-0708

    Type: Mailing

  • 1025 STRAKA TER

    OKLAHOMA CITY, OK 731392544

    Phone: (405) 632-6688

    Fax: (405) 604-0708

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 97 Open Payments records for all available years, with a total value of $2,731.

Total Amount is formed as General ($2,731) + Research ($0) + Ownership ($0) = $2,731.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($862).

Total Amount

$2,731

General + Research + Ownership

Payments

97

Total payment records

General Amount

$2,731

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2023-05-17

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
I20230517003579INurse PractitionerORTBD

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
17003Destruction of precancer skin growth, 2-14 growths7619$0
99203New patient office or other outpatient visit, 30-44 minutes7272$0
99213Established patient office or other outpatient visit, 20-29 minutes3934$0
11102Biopsy of related skin growth, first growth3837$0
17000Destruction of precancer skin growth, 1 growth3331$0
View full utilization report →

Insurance plans in this area (ZIP 97212)

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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: 8325050859View full group profile
NameSpecialtyState
Physician AssistantOR
D E R M A T O L O G YFL
Nurse PractitionerOR
D E R M A T O L O G YOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

Is KATIE CONKLIN (ARNP) listed with a National Provider Identifier?
Yes — KATIE CONKLIN (ARNP) has NPI 1235546607 on file in the registry.
Is KATIE CONKLIN (ARNP) still an active registrant?
KATIE CONKLIN (ARNP) carries an active NPI according to the public dataset.
What kind of doctor is KATIE CONKLIN (ARNP)?
KATIE CONKLIN (ARNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KATIE CONKLIN (ARNP)?
Directory geography for KATIE CONKLIN (ARNP) centers on Portland, Oregon.
When was this NPI issued?
Enumeration for KATIE CONKLIN (ARNP) is noted as July 17, 2014 where the registry provides it.

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