DR. KATELYN LEE CONNER (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1760902712

DR. KATELYN LEE CONNER (PMHNP-BC) is a healthcare provider. based in Collierville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 902117 (MS). The NPI Number for DR. KATELYN LEE CONNER (PMHNP-BC) is 1760902712

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATELYN LEE CONNER (PMHNP-BC)
NPI
1760902712
Phone
(901) 446-0226
Address
1011 W Poplar Ave Ste 7
Enumeration Date
21 June 2017
Last Update Date
7 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6625108606
Graduation Year
2017 (9 years ago)
PAC ID
2769756717
Group Practice PAC ID
1759673072
Professional Enrollment ID
I20170914002893
Address ID
MS386321196HE220XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for DR. KATELYN LEE CONNER (PMHNP-BC)

  • 1011 W Poplar Ave Ste 7

    Collierville, TN 380172577

    Phone: (901) 446-0226

    Fax: (901) 422-5409

    Type: Location

  • Cobblestone Boulevard, Southaven, DeSoto County, Mississippi, 38672, United States

    SOUTHAVEN, MS 38672

    Phone: (662) 510-8606

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 244 Open Payments records for all available years, with a total value of $3,692.

Total Amount is formed as General ($3,692) + Research ($0) + Ownership ($0) = $3,692.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,075).

Total Amount

$3,692

General + Research + Ownership

Payments

244

Total payment records

General Amount

$3,692

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2018-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170914002893INurse PractitionerMSTBD
I20180109001004INurse PractitionerTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14546$0
90833Psychotherapy with evaluation and management visit, 30 minutes13244$0
80305Testing for presence of drug, read by direct observation9534$0
View full utilization report →

Insurance plans in this area (ZIP 38017)

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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: 1759673072View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerTN
Nurse PractitionerMS

Reviews

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Frequently asked questions

How do I look up DR. KATELYN LEE CONNER (PMHNP-BC) by NPI?
Use NPI 1760902712 when you need to reference DR. KATELYN LEE CONNER (PMHNP-BC) in forms, claims, or directories.
Does this profile mean DR. KATELYN LEE CONNER (PMHNP-BC) is currently active?
Yes — DR. KATELYN LEE CONNER (PMHNP-BC) appears active in the national provider directory.
Can you summarize DR. KATELYN LEE CONNER (PMHNP-BC)'s specialty in plain language?
Clinically, the directory lists DR. KATELYN LEE CONNER (PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is DR. KATELYN LEE CONNER (PMHNP-BC)'s primary listing?
We display Collierville, Tennessee because that is what the record indicates for DR. KATELYN LEE CONNER (PMHNP-BC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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