Individual provider Active NPI

Katelyn Predmore, FNP-C

  • Family Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1619671823
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
289463 Issued in AZ
Practice address
13041 N del Webb Blvd 200
Sun City, AZ 85351
Phone
(480) 256-6444
Fax
(480) 256-3682
NPI assigned
Mar 30, 2023
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 289463 AZ Primary

Addresses

Primary practice location

13041 N del Webb Blvd 200
Sun City, AZ 85351

Mailing address

13041 N del Webb Blvd 200
Sun City, AZ 85351
Phone (480) 256-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20230512000115 AZ Practitioner - Nurse Practitioner 9830555192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Livi Medical Services LLCGroup PAC ID 8820283039, 11 clinicians

Practice addresses (Care Compare)

13041 N del Webb Blvd
Suite 200
Sun City, AZ 85351-3034
Phone (623) 832-0300

3030 N Central Ave
Suite 1200
Phoenix, AZ 85012-2745
Phone (480) 607-0606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
44.32 of 100Reported as group
Quality
56.63
Promoting interoperability
0
Improvement activities
0
Cost
69.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livi Medical Services LLC CurrentSince May 1, 2023 Accepting new patients

Locations

3030 N Central Ave
Ste 1200
Phoenix, AZ 85012
Phone (480) 607-0606

6380 E Thomas Rd
Ste 100
Scottsdale, AZ 85251
Phone (480) 607-0606

Interoperability endpoints

  • Direct secure messaging: katelyn.predmore.1@27970.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1619671823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13041 N DEL WEBB BLVD 200",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "85351",
            "telephone_number": "480-256-6444",
            "fax_number": "480-256-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13041 N DEL WEBB BLVD 200",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "85351",
            "telephone_number": "480-256-6444",
            "fax_number": "480-256-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREDMORE",
        "first_name": "KATELYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "289463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.