Individual provider Active NPI

Katie Loetscher, APRN

  • Family Nurse Practitioner
  • Pine Bluff, AR
National Provider Identifier
1851787089
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004193 Issued in AR
Practice address
1609 W 40TH Ave
#204
Pine Bluff, AR 71603-6319
Phone
(870) 534-3608
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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 A004193 AR Primary

Addresses

Primary practice location

1609 W 40TH Ave
#204
Pine Bluff, AR 71603-6319

Mailing address

1609 W 40TH Ave
#204
Pine Bluff, AR 71603-6319

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address loetscherk@ohit.sharear.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20210331000063 AR Practitioner - Nurse Practitioner 6507111341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Hospital Association, IncGroup PAC ID 8123927431, shared by 9 NPIs, 80 clinicians

Practice addresses (Care Compare)

1609 W 40TH Ave
204 OBGYN Associates of S Ark
Pine Bluff, AR 71603-6367
Phone (870) 534-3608

Hospital & facility affiliations

  • Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Hospital Association, Inc CurrentSince Nov 27, 2020 Accepting new patients
Jefferson Hospital Association, Inc Current Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Nov 27, 2020 Accepting new patients
Jefferson Hospital Assn, Inc. CurrentSince May 22, 2024 Accepting new patients

Locations

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1609 W 40th Ave
Ste 402
Pine Bluff, AR 71603
Phone (870) 534-2106

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

1609 W 40th Ave
Ste 204
Pine Bluff, AR 71603
Phone (870) 534-0202

1609 W 40th Ave
Ste 300
Pine Bluff, AR 71603
Phone (870) 536-6045

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1851787089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE",
            "address_2": "#204",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE",
            "address_2": "#204",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036319",
            "telephone_number": "870-534-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOETSCHER",
        "first_name": "KATIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "loetscherk@ohit.sharear.net",
            "affiliation": "N",
            "address_1": "1609 W 40th Ave",
            "address_2": "#204",
            "city": "Pine Bluff",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716036319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.