KATIE PEPER (NP) – Family Nurse Practitioner, NPI 1003463365

KATIE PEPER (NP) is a healthcare provider. based in Loganville, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 9383-33 (WI). The NPI Number for KATIE PEPER (NP) is 1003463365

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATIE PEPER (NP)
NPI
1003463365
Phone
(608) 415-7633
Address
E5139 HILLCREST DR
Enumeration Date
21 August 2019
Last Update Date
1 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6083551240
Graduation Year
2019 (7 years ago)
PAC ID
0143654640
Group Practice PAC ID
5496709867
Professional Enrollment ID
I20191216001393
Address ID
WI539139064BAS2845RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

6,033 NURSE PRACTITIONER in WI

Provider Addresses for KATIE PEPER (NP)

  • E5139 HILLCREST DR

    LOGANVILLE, WI 539439719

    Phone: (608) 415-7633

    Type: Location

  • S2845 WHITE EAGLE RD

    BARABOO, WI 539139064

    Phone: (608) 355-1240

    Fax: (608) 355-5166

    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: 2019-12-16

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
I20191216001393INurse PractitionerWITBD

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
80053Blood test, comprehensive group of blood chemicals3317$0
83036Hemoglobin a1c level2713$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1913$0
View full utilization report →

Insurance plans in this area (ZIP 53943)

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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: 5496709867View full group profile
NameSpecialtyState
Mental Health CounselorWI
Family PracticeWI
Registered Dietitian Or Nutrition ProfessionalWI
Registered Dietitian Or Nutrition ProfessionalWI
-WI
-WI
Clinical Social WorkerWI
Registered Dietitian Or Nutrition ProfessionalWI
Nurse PractitionerWI
Registered Dietitian Or Nutrition ProfessionalWI

Reviews

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Frequently asked questions

Does KATIE PEPER (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATIE PEPER (NP) uses 1003463365.
Does CMS list KATIE PEPER (NP) as active?
Yes — KATIE PEPER (NP) is active in the NPI listing used on this page.
What healthcare role does KATIE PEPER (NP) hold?
Scheduling teams often label KATIE PEPER (NP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KATIE PEPER (NP) on a map?
Expect Loganville, Wisconsin as a primary anchor for KATIE PEPER (NP) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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