MRS. KATHLEEN MARIE SMALL NP
NPI 1043445000
Nurse Practitioner - Family in Indianapolis, IN

Q: What is Kathleen Small's NPI number?

The NPI number for Kathleen Small is 1043445000. It was assigned to this individual provider in the NPPES registry on May 20, 2009. The provider is also known as Kathleen Glass Np.

Q: What is Kathleen Small's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Small was last updated on April 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 20, 2009PECOS Enrolled

1481 W 10TH ST, INDIANAPOLIS, IN 46202(317) 988-9793 Get Directions Write a Review

NPPES record last updated: April 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Kathleen Marie Small Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHLEEN MARIE SMALL NP (NPI 1043445000) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71002949A) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043445000

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KATHLEEN MARIE SMALLCredential: NP

Location Address1481 W 10TH STIndianapolis, IN 46202-2803

Mailing Address1481 W 10th StIndianapolis, IN 46202-2803 · (317) 988-9793

Phone(317) 988-9793

Sole ProprietorNo

Enumeration DateMay 20, 2009

Last NPPES UpdateApril 24, 2015

✔ NPI 1043445000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71002949A

1481 W 10TH ST, Indianapolis, IN 46202

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Other Names 1

Former Name (1)Kathleen Glass Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathleen Marie Small Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SATISH KENCHAIAH MD, MPH

Internal Medicine (Cardiovascular Disease)