Katelyn Marie Pericola, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

82133 Issued in KS

Practice address

15235 W 172ND PL
Olathe, KS 66062-7508

Phone

(913) 530-3241

NPI assigned

Apr 23, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Katelyn Marie Eichelberger Former name

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katie.pericola.1@24049.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optima Pain Management LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Leawood, KS
  • NPI 1629699038
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1356196141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15235 W 172ND PL",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660627508",
            "telephone_number": "913-530-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 W 172ND PL",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660627508",
            "telephone_number": "913-530-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERICOLA",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "82133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "EICHELBERGER",
            "middle_name": "MARIE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Lee Penn, MS, LMLP
• Jessica Diane Pepper
• Patricia E Pepple, T-LMSW
• Miguel Perez, APRN
• Performance Chiropractic
• Periodontal Care West LLC
• James David Perll
• Nanette Lea Perrin, M.A., B.C.B.A
• Alisha Anjuli Persaud, LPC
• Ziyan Yuan Pessetto, PHD, HCLD (ABB)

• Family Nurse Practitioner in Olathe, KS
• Providers in Olathe, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.