KATHERINE ANN TRETTIN
NPI 1114668126
Dermatology in Jackson, MS

Q: What is Katherine Trettin's NPI number?

The NPI number for Katherine Trettin is 1114668126. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Katherine Trettin's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Trettin was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 05, 2022PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Katherine Ann Trettin NPPES

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

KATHERINE ANN TRETTIN (NPI 1114668126) is an individual dermatology provider in Jackson, Mississippi, licensed in Louisiana (351182) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Shreveport, and maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1114668126

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameKATHERINE ANN TRETTIN

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address1541 Kings HwyShreveport, LA 71103-4228

Phone(601) 984-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 5, 2022

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1114668126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in LA · 351182

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedInternal MedicineTaxonomy 207R00000X · License 351182 (LA)

2500 N STATE ST, Jackson, MS 39216

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Secondary Practice Location 1

Location 11541 Kings HwyShreveport, LA 71103-4228 · Phone (318) 626-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Ann Trettin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931639291

PECOS Enrollment IDI20260630004866

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 Billing Reassignment

Medicare enrollment records show Katherine Trettin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lsu Health Sciences Center Shreveport Faculty Group Practice

210 mi

Family Medicine

1541 KINGS HWY
Shreveport, LA 71103

Reassigned Medicare billing, Louisiana enrollment
1,167 clinicians in this Medicare group

NPI 1013374222 (318) 626-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Lsu Health Shreveport

Acute Care Hospitals · Shreveport, LA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190098

Location1541 Kings HighwayShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

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

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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)