KATIE FLICKINGER – School Registered Nurse, NPI 1982142998

KATIE FLICKINGER is a healthcare provider. based in Siletz, Oregon. specializing in NURSE PRACTITIONER. They hold a License No. 247118 (AZ). The NPI Number for KATIE FLICKINGER is 1982142998

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KATIE FLICKINGER
NPI
1982142998
Phone
(541) 444-1030
Address
200 GWEE SHUT RD
Enumeration Date
9 February 2017
Last Update Date
23 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
6800272691
Group Practice PAC ID
6204729288
Professional Enrollment ID
I20250430001929
Address ID
OR973802036SI200XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:9State licenses:3Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for KATIE FLICKINGER

  • 200 GWEE SHUT RD

    SILETZ, OR 973802036

    Phone: (541) 444-1030

    Type: Location

  • 5017 E ROUSAY DR

    SAN TAN VALLEY, AZ 851405053

    Phone: (480) 332-7756

    Type: Mailing

  • Papago School, 2013, North 36th Street, McDowell Trailer Village, Phoenix, Maricopa County, Arizona, 85008, United States

    PHOENIX, AZ 850083026

    Phone: (602) 381-6100

    Type: Location

  • PO BOX 320

    SILETZ, OR 973800320

    Phone: (541) 444-1030

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-04-30

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
I20250430001929INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes1412$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 97380)

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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: 6204729288View full group profile
NameSpecialtyState
Internal MedicineOR
Nurse PractitionerOR
Nurse PractitionerOR
Internal MedicineCA
O P T O M E T R YCA
Clinical Social WorkerOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

Is there an official ID for KATIE FLICKINGER in U.S. healthcare records?
The official identifier for KATIE FLICKINGER is NPI 1982142998.
Is KATIE FLICKINGER shown as active in public data?
Registry records indicate KATIE FLICKINGER maintains an active NPI.
How would a patient describe KATIE FLICKINGER's focus?
For KATIE FLICKINGER, the primary taxonomy reads as School Registered Nurse. Clinical services aligned with this taxonomy classification.
Is KATIE FLICKINGER located near Siletz?
KATIE FLICKINGER currently maps to Siletz, Oregon in this extract.
When was this NPI issued?
Enumeration for KATIE FLICKINGER is noted as February 9, 2017 where the registry provides it.

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