Kathryn Mae Small, ACNP - Medicare Nurse Practitioner in Kettering, OH

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Kathryn Mae Small, ACNP is a medicare enrolled "Nurse Practitioner" in Kettering, Ohio. She went to University Of Cincinnati College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 3535 Southern Blvd, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 395-6665.

Kathryn Mae Small is licensed to practice in Ohio (license number 14097) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194068361.

Contact Information

Kathryn Mae Small, ACNP
3535 Southern Blvd,
Kettering, OH 45429-1221
(937) 395-6665
(937) 395-6668

Map and Direction




Provider's Profile

Full NameKathryn Mae Small
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location3535 Southern Blvd, Kettering, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathryn Mae Small attended and graduated from University Of Cincinnati College Of Medicine in 2012
  NPI Data:
  • NPI Number: 1194068361
  • Provider Enumeration Date: 04/05/2013
  • Last Update Date: 11/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2769610146
  • Enrollment ID: I20150924003132

Medical Identifiers

Medical identifiers for Kathryn Mae Small such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194068361NPI-NPPES
0082730MedicaidOH
201199110MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 14097 (Ohio)Secondary
363L00000XNurse Practitioner 14097 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Soin Medical CenterBeaver creek, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936577

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathryn Mae Small allows following entities to bill medicare on her behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NameHospitalist Medicine Physicians Of Richland County, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639119027
PECOS PAC ID: 4284538430
Enrollment ID: O20031120000557
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425
Entity NameHospitalist Medicine Physicians Of Ohio, Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043572290
PECOS PAC ID: 3779749197
Enrollment ID: O20120730000162
Entity NameHospitalist Medicine Physicians Of Ohio-columbus Ii Professional Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861038069
PECOS PAC ID: 3173953460
Enrollment ID: O20200429001990

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Mae Small is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathryn Mae Small, ACNP
3535 Southern Blvd,
Kettering, OH 45429-1221

Ph: (937) 395-6665		Kathryn Mae Small, ACNP
3535 Southern Blvd,
Kettering, OH 45429-1221

Ph: (937) 395-6665

Reviews and Comments


Nurse Practitioner Nurses in Kettering, OH

Ms. Noriko Tsuchihashi Banerjee, RN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429
Phone: 937-222-3118    Fax: 937-222-1436
Erica Lee Ertel,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Southern Blvd Ste 201, Kettering, OH 45429
Phone: 855-500-2873    Fax: 937-281-3992
Richard Foreman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-6665    Fax: 937-522-9260
Lashauna Hall, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429
Phone: 937-643-9299    Fax: 937-643-2343
Eric E Bowers, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-298-4331    
Mrs. Erika Vanwyck Thomas, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2115 E Dorothy Ln, Kettering, OH 45420
Phone: 937-610-9174    
Ms. Danyell Margioras, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429
Phone: 937-643-9299    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.