KATRINA POULSEN (NP-C) – Family Nurse Practitioner, NPI 1396342713
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for KATRINA POULSEN (NP-C)
617 EAST RRIVERSIDE DR
STE 301
ST. GEORGE, UT 84790
Phone: (435) 216-7000
Fax: (435) 216-7001
Type: Location
617 E RIVERSIDE DR STE 301
ST GEORGE, UT 847908722
Phone: (435) 216-7000
Fax: (435) 216-7001
Type: Mailing
2107 W Sunset Blvd Ste 102
St George, UT 847707140
Phone: (435) 274-2980
Fax: (435) 274-0866
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $845.
Total Amount is formed as General ($845) + Research ($0) + Ownership ($0) = $845.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($243).
Total Amount
$845
General + Research + Ownership
Payments
48
Total payment records
General Amount
$845
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $243 |
| Janssen Biotech, Inc. | $189 |
| IMPEL PHARMACEUTICALS INC. | $148 |
| Biofrontera Inc. | $54 |
| UCB, Inc. | $46 |
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: 2021-03-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201210001799 | I | Nurse Practitioner | UT | TBD |
| I20210322002536 | I | Nurse Practitioner | NV | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 41 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 84790)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | UT | |
| Physician Assistant | UT |
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