KATIE M KOMRO (NP-C) – Family Nurse Practitioner, NPI 1508113457

KATIE M KOMRO (NP-C) is a healthcare provider. based in Altoona, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 5017-33 (WI). The NPI Number for KATIE M KOMRO (NP-C) is 1508113457

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KATIE M KOMRO (NP-C)
NPI
1508113457
Phone
(715) 832-1400
Address
1200 OAKLEAF WAY
Enumeration Date
9 August 2012
Last Update Date
5 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158321400
Graduation Year
2012 (14 years ago)
PAC ID
6709036742
Group Practice PAC ID
7618948399
Professional Enrollment ID
I20121027000010
Address ID
WI547202245AL1200XWAYX301

Contacts

Secure Messaging
ajcrow@cvosm.gwaydirect.com
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness95
Years active:13State licenses:1Other names

6,035 NURSE PRACTITIONER in WI

Provider Addresses for KATIE M KOMRO (NP-C)

  • 1200 OAKLEAF WAY

    SUITE A

    ALTOONA, WI 547202245

    Phone: (715) 832-1400

    Fax: (715) 832-4187

    Type: Mailing

  • 1200 OAKLEAF WAY STE A

    ALTOONA, WI 547202217

    Phone: (715) 832-1400

    Fax: (715) 832-4187

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $109.

Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.

Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Abbott Laboratories ($93).

Total Amount

$109

General + Research + Ownership

Payments

2

Total payment records

General Amount

$109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-10-27

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
I20121027000010INurse 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
27447Replacement of knee joint, both sides of knee3837$0
View full utilization report →

Insurance plans in this area (ZIP 54720)

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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: 7618948399View full group profile

Reviews

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Frequently asked questions

What identifier follows KATIE M KOMRO (NP-C) across health systems?
The NPI 1508113457 uniquely identifies KATIE M KOMRO (NP-C) in U.S. healthcare data.
Does the public listing show KATIE M KOMRO (NP-C) as active?
KATIE M KOMRO (NP-C)'s NPI record reflects an active status in NPPES.
What does the directory say KATIE M KOMRO (NP-C) does?
Insurance directories may phrase it differently, but here KATIE M KOMRO (NP-C) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KATIE M KOMRO (NP-C)?
KATIE M KOMRO (NP-C) shows a connection to Altoona, Wisconsin in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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