KATHRYN D ANDERSON (CPNP-PC) – Nurse Practitioner, NPI 1821277641
Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for KATHRYN D ANDERSON (CPNP-PC)
Bella Drive, Sheidow Park, Adelaide, City of Marion, South Australia, 5158, Australia
MARION, IN 469535250
Phone: (765) 651-6637
Fax: (765) 651-6639
Type: Mailing
2620 S WESTERN AVE
MARION, IN 469533556
Phone: (765) 573-2530
Fax: (765) 573-2535
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 114 Open Payments records for all available years, with a total value of $1,883.
Total Amount is formed as General ($1,883) + Research ($0) + Ownership ($0) = $1,883.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Corium, LLC ($975).
Total Amount
$1,883
General + Research + Ownership
Payments
114
Total payment records
General Amount
$1,883
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $975 |
| Supernus Pharmaceuticals, Inc. | $480 |
| IRONSHORE PHARMACEUTICALS INC. | $133 |
| GlaxoSmithKline, LLC. | $96 |
| SANOFI PASTEUR INC. | $36 |
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: 2007-12-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071218000215 | I | Nurse Practitioner | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46953)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.