KATHERINE DEZUTTER (PA-C) – Medical Physician Assistant, NPI 1578089769

KATHERINE DEZUTTER (PA-C) is a healthcare provider. based in Shrewsbury, Massachusetts. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA7967 (MA). The NPI Number for KATHERINE DEZUTTER (PA-C) is 1578089769

Main info

Female
Name
KATHERINE DEZUTTER (PA-C)
NPI
1578089769
Phone
Not provided
Address
12 DEER RUN DR
Enumeration Date
18 August 2017
Last Update Date
28 October 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for KATHERINE DEZUTTER (PA-C)

  • 12, Deer Run Drive, Shrewsbury, Worcester County, Massachusetts, 01536, United States

    SHREWSBURY, MA 015454076

    Phone:

    Type: Mailing

  • Volleyball Court, 577, Western Avenue, Westfield, Hampden County, Massachusetts, 01086, United States

    WESTFIELD, MA 010852580

    Phone: (774) 275-1818

    Type: Location

  • 819 WORCESTER ST STE 1

    SPRINGFIELD, MA 011511056

    Phone:

    Type: Mailing

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: 2021-06-08

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
I20210608001871IPhysician AssistantMATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,346296$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes256144$0
99239Hospital discharge day management, more than 30 minutes161157$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7776$0
View full utilization report →

Insurance plans in this area (ZIP 01545)

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Reviews

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Frequently asked questions

How do I look up KATHERINE DEZUTTER (PA-C) by NPI?
Use NPI 1578089769 when you need to reference KATHERINE DEZUTTER (PA-C) in forms, claims, or directories.
Is KATHERINE DEZUTTER (PA-C) active in the national directory?
KATHERINE DEZUTTER (PA-C)'s public NPI profile is in an active state.
Does KATHERINE DEZUTTER (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for KATHERINE DEZUTTER (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for KATHERINE DEZUTTER (PA-C)?
We surface Shrewsbury, Massachusetts for KATHERINE DEZUTTER (PA-C) based on available NPPES addresses.
What if Shrewsbury, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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