Katie McPherson, CNP
Individual provider Active NPI Nurse Practitioner · Highland Heights, KY
NPI 1679877427 · NPPES record last updated May 21, 2020
Key facts
- NPI
- 1679877427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3006516 (KY)
- Practice address
- 2626 Alexandria Pike
Highland Heights, KY 41076-1530 - Phone
- (859) 781-4111
- Fax
- (859) 441-5214
- NPI assigned
- Jan 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
2626 Alexandria Pike
Highland Heights, KY 41076-1530
Phone (859) 757-0434
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Ft Thomas
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20131203002172 | KY | Practitioner - Nurse Practitioner | 6800020413 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3006516 | KY | MD | Nurse Practitioner |
| COA12017-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Nurse Practitioner | Current |
Accepting new patients |
| Summit Medical Group, Inc. | Current |
Accepting new patients |
Locations
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
2626 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 757-0434
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- kmcpherson326383@direct-prd.stelizabeth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA12017-NP | OH | |
| Nurse Practitioner | 363L00000X | 3006516 | KY | Yes |
Addresses
Primary practice location
2626 Alexandria Pike
Highland Heights, KY 41076-1530
Mailing address
7691 5 Mile Rd
Suite 10
Cincinnati, OH 45230-4348
Phone (513) 624-7246
Other practice location 1
7691 5 Mile Rd
Suite 10
Cincinnati, OH 45230-4348
Phone (513) 624-7246
Other providers in Highland Heights, KY
- Robert Kane McCall
- Perry McCool
- Nataliya McCreary
- Arthur Marcus McGuffin III
- Elizabeth Kelty McLaurin
- Meade Chiropractic, LLC
- Donn E Mettens Jr.
- Douglas R Miles
- Eileen Mary Moore
- Patricia Ann Moore
All providers in Highland Heights, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 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.