KATIANN MEDORAH CAVARRETTA (FNP-C) – Family Nurse Practitioner, NPI 1518624394

KATIANN MEDORAH CAVARRETTA (FNP-C) is a healthcare provider. based in Orange grove, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1029480 (TX). The NPI Number for KATIANN MEDORAH CAVARRETTA (FNP-C) is 1518624394

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KATIANN MEDORAH CAVARRETTA (FNP-C)
NPI
1518624394
Phone
(361) 382-2024
Address
PO BOX 2070
Enumeration Date
29 November 2021
Last Update Date
6 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3616644445
Graduation Year
2020 (6 years ago)
PAC ID
0941691158
Group Practice PAC ID
4880657386
Professional Enrollment ID
I20211223000780
Address ID
TX783324187AL2510XSTRE401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for KATIANN MEDORAH CAVARRETTA (FNP-C)

  • PO BOX 2070

    ORANGE GROVE, TX 783722070

    Phone: (361) 382-2024

    Type: Mailing

  • 101 S EUGENIA ST

    ORANGE GROVE, TX 783722309

    Phone: (361) 382-2024

    Fax: (855) 606-6314

    Type: Location

  • 2510 E MAIN ST STE 102

    ALICE, TX 783324188

    Phone: (361) 664-4445

    Fax: (361) 664-4449

    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: 2021-12-23

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
I20211223000780INurse PractitionerTXTBD

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 78372)

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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: 4880657386View full group profile

Reviews

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Frequently asked questions

How do payers reference KATIANN MEDORAH CAVARRETTA (FNP-C)?
For KATIANN MEDORAH CAVARRETTA (FNP-C), use NPI 1518624394 as the unique 10-digit identifier.
Is there an active status for KATIANN MEDORAH CAVARRETTA (FNP-C)?
For scheduling context, KATIANN MEDORAH CAVARRETTA (FNP-C) is shown as active in the registry.
What expertise is attributed to KATIANN MEDORAH CAVARRETTA (FNP-C)?
KATIANN MEDORAH CAVARRETTA (FNP-C)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KATIANN MEDORAH CAVARRETTA (FNP-C) associated with Orange Grove?
Public fields place KATIANN MEDORAH CAVARRETTA (FNP-C) around Orange Grove, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KATIANN MEDORAH CAVARRETTA (FNP-C) is noted as November 29, 2021 where the registry provides it.

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