Katelyn Erwin
Individual provider Active NPI Nurse Practitioner · Nevada, MO
NPI 1205445863 · NPPES record last updated Aug 27, 2020
Key facts
- NPI
- 1205445863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2020024672 (MO)
- Practice address
- 627 S Ash St
Nevada, MO 64772-3218 - Phone
- (417) 448-3600
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nevada City Hospital
Practice addresses (Care Compare)
800 S Ash St
Nevada, MO 64772-3223
Phone (417) 667-3355
Hospital & facility affiliations
- Nevada Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.07 of 100
- Quality
- 45.41
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 70.66
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.89 of 100
- Quality
- 50.25
- Promoting interoperability
- 90
- Improvement activities
- 40
- Cost
- 81.17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200825000915 | MO | Practitioner - Nurse Practitioner | 3072930858 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada City Hospital | Current |
Accepting new patients | |
| Nevada City Hospital | Current |
Accepting new patients | |
| Randall Kunze DPM LLC | Past |
Accepting new patients | |
| Nevada City Hospital | Past |
Accepting new patients |
Locations
900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355
800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2020024672 | MO | Yes |
Addresses
Primary practice location
627 S Ash St
Nevada, MO 64772-3218
Mailing address
800 S Ash St
Nevada, MO 64772-3224
Phone (417) 667-3355
Other names
- Katelyn Triplett
Other providers in Nevada, MO
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- Alisha Eldridge
- Emmaly Ellis
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- Ep Evans Drug, Inc
- Evans Drugs Nevada LLC
- Kevin Joseph Ewing
- Eyecare Professionals, Inc
- Anna Farmer
- Bethany K Fast
All providers in Nevada, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.