KATIE MARIE KASUNICK (FNP) – Family Nurse Practitioner, NPI 1285063644

KATIE MARIE KASUNICK (FNP) is a healthcare provider. based in Spokane valley, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP60411115 (WA). The NPI Number for KATIE MARIE KASUNICK (FNP) is 1285063644

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KATIE MARIE KASUNICK (FNP)
NPI
1285063644
Phone
(509) 944-8910
Address
16528 E DESMET CT
Enumeration Date
6 November 2013
Last Update Date
5 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094742100
Graduation Year
2013 (13 years ago)
PAC ID
9133356918
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20131227000113
Address ID
WA992021331SP421XXSTXX400

Contacts

Secure Messaging
kmoore496319@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

6,268 NURSE PRACTITIONER in WA

Provider Addresses for KATIE MARIE KASUNICK (FNP)

  • 16528 E DESMET CT

    SPOKANE VALLEY, WA 992163522

    Phone: (509) 944-8910

    Type: Location

  • 2923 E 29th Ave

    Spokane, WA 992234811

    Phone: (888) 227-3312

    Fax: (509) 622-2695

    Type: Location

  • 16528 E Desmet Ct

    Spokane Valley, WA 992163522

    Phone: (509) 944-8910

    Type: Location

  • PO BOX 421

    LIBERTY LAKE, WA 990190421

    Phone: (509) 474-2072

    Type: Mailing

  • 421 S DIVISION ST

    SPOKANE, WA 992021331

    Phone: (509) 474-2100

    Fax: (509) 227-7070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $963.

Total Amount is formed as General ($963) + Research ($0) + Ownership ($0) = $963.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($963).

Total Amount

$963

General + Research + Ownership

Payments

30

Total payment records

General Amount

$963

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

CompanyAmount
ABBVIE INC.$963
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: 2013-12-27

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
I20131227000113INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99216)

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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: 0345139929View full group profile

Reviews

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Frequently asked questions

What is the standard ID for KATIE MARIE KASUNICK (FNP) in the U.S.?
In the U.S., KATIE MARIE KASUNICK (FNP) is identified by NPI 1285063644.
Is KATIE MARIE KASUNICK (FNP) currently accepting referrals based on NPI status?
Registry metadata lists KATIE MARIE KASUNICK (FNP) as active.
What services align with KATIE MARIE KASUNICK (FNP)'s listing?
KATIE MARIE KASUNICK (FNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATIE MARIE KASUNICK (FNP)?
KATIE MARIE KASUNICK (FNP) is associated with Spokane Valley, Washington in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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