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KATIE JO GENTRY PA
NPI 1083940308
Physician Assistant - Surgical in Lafayette, IN

Active since October 21, 2009PECOS Enrolled
96.68/100
CMS Quality Rating
1345 UNITY PL STE 235, LAFAYETTE, IN 47905(765) 446-5065(765) 446-5170 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katie Jo Gentry Pa NPPES

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

KATIE JO GENTRY PA (NPI 1083940308) is an individual surgical provider in Lafayette, Indiana, licensed in Indiana (10001475A) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083940308
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKATIE JO GENTRYCredential: PA
Location Address1345 UNITY PL STE 235Lafayette, IN 47905-5761
Mailing AddressPo Box 4699Lafayette, IN 47903-4699 · (765) 449-2732 · Fax (765) 449-1196
Phone(765) 446-5065
Fax(765) 446-5170
Sole ProprietorNo
Enumeration DateOctober 21, 2009
Last NPPES UpdateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
✔ NPI 1083940308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in IN · 10001475A✔ Licensed in OH · 50.002983
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 50.002982 (OH)
1345 UNITY PL STE 235, Lafayette, IN 47905
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Jo Gentry Pa 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

MARIA GUTIERREZ CST
Specialist/Technologist, Other (Surgical Technologist)
1345 UNITY PL STE 235
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5065
ABIGAYLE NORTON CST
Specialist/Technologist, Other (Surgical Technologist)
1345 UNITY PL STE 235
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5065
BAILY CUNNINGHAM CST
Specialist/Technologist, Other (Surgical Technologist)
1345 UNITY PL STE 235
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5065
CHRISTY STOLLER
Surgery
1345 UNITY PL STE 235
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5065
MRS. SARAH CAMPBELL PA-C
Physician Assistant (Medical)
1345 UNITY PL STE 235
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5065
JENNIFER PICKERING CST
Specialist/Technologist, Other (Surgical Technologist)
1345 UNITY PL STE 235
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5065
EMMA R MICHAL CST
Specialist/Technologist, Other (Surgical Technologist)
1345 UNITY PL STE 235
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5065
LATISHA D BIDDLE CST
Specialist/Technologist, Other (Surgical Technologist)
1345 UNITY PL STE 235
LAFAYETTE, IN 47905
Tippecanoe County (765) 446-5065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Gentry's NPI number?

The NPI number for Katie Gentry is 1083940308. It was assigned to this individual provider in the NPPES registry on October 21, 2009.

Where is Katie Gentry located?

Katie Gentry practices at 1345 Unity Pl Ste 235, Lafayette, IN 47905. The listed phone number is (765) 446-5065.

What is Katie Gentry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Katie Gentry enrolled in Medicare?

Yes. Katie Gentry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katie Gentry was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.