KATHERINE NEWBERG (ARNP) – Family Nurse Practitioner, NPI 1174282503

KATHERINE NEWBERG (ARNP) is a healthcare provider. based in Poulsbo, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. AP61249291 (WA). The NPI Number for KATHERINE NEWBERG (ARNP) is 1174282503

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE NEWBERG (ARNP)
NPI
1174282503
Phone
(360) 377-3776
Address
19917 7TH AVE NE STE 205
Enumeration Date
13 December 2021
Last Update Date
31 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3609790569
Graduation Year
2021 (5 years ago)
PAC ID
7719366459
Group Practice PAC ID
9133421597
Professional Enrollment ID
I20220627000645
Address ID
WA983707354PO19036NEXX401
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

6,268 NURSE PRACTITIONER in WA

Provider Addresses for KATHERINE NEWBERG (ARNP)

  • 19917 7TH AVE NE STE 205

    POULSBO, WA 983706555

    Phone: (360) 377-3776

    Type: Location

  • PO BOX 2940

    POULSBO, WA 983702940

    Phone: (360) 979-0569

    Type: Mailing

  • 1173 MADISON AVE N

    BAINBRIDGE ISLAND, WA 981101782

    Phone: (360) 377-3776

    Fax: (877) 805-9505

    Type: Location

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: 2022-06-27

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
I20220627000645INurse PractitionerWATBD

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 minutes7568$0
99214Established patient office or other outpatient visit, 30-39 minutes7051$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
36415Insertion of needle into vein for collection of blood sample1414$0
View full utilization report →

Insurance plans in this area (ZIP 98370)

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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: 9133421597View full group profile
NameSpecialtyState
Family PracticeUT
Family PracticeWA
Family PracticeWA
Family PracticeWA
Family PracticeWA

Reviews

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Frequently asked questions

What is the standard ID for KATHERINE NEWBERG (ARNP) in the U.S.?
In the U.S., KATHERINE NEWBERG (ARNP) is identified by NPI 1174282503.
Should I treat KATHERINE NEWBERG (ARNP) as an active provider?
Patients and plans typically see KATHERINE NEWBERG (ARNP) as active in the national extract.
What type of care does KATHERINE NEWBERG (ARNP) provide?
KATHERINE NEWBERG (ARNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to KATHERINE NEWBERG (ARNP)?
The directory associates KATHERINE NEWBERG (ARNP) with Poulsbo, Washington. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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