KATHRYN MAE SMALL ACNP
NPI 1194068361
Nurse Practitioner - Acute Care in Kettering, OH
About Kathryn Mae Small Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN MAE SMALL ACNP (NPI 1194068361) is an individual acute care provider in Kettering, Ohio, licensed in Ohio (APRN.CNP.14097) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathryn Mae Small Acnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Kathryn Small reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miamisburg, OH 45342
- Reassigned Medicare billing, Ohio enrollment
- 984 clinicians in this Medicare group
Springfield, OH 45504
- Reassigned Medicare billing, Ohio enrollment
- 49 clinicians in this Medicare group
Springfield, OH 45504
- Reassigned Medicare billing, Ohio enrollment
- 494 clinicians in this Medicare group
Chillicothe, OH 45601
- Reassigned Medicare billing, Ohio enrollment
- 204 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 776 clinicians in this Medicare group
Canton, OH 44708
- Reassigned Medicare billing, Ohio enrollment
- 456 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Health - Fairfield Hospital
Acute Care Hospitals · Fairfield, OHMercy Health - West Hospital
Acute Care Hospitals · Cincinnati, OHSoin Medical Center
Acute Care Hospitals · Beaver Creek, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
KETTERING, OH 45429
KETTERING, OH 45429
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 Kathryn Small's NPI number?
The NPI number for Kathryn Small is 1194068361. It was assigned to this individual provider in the NPPES registry on April 5, 2013. The provider is also known as Kathryn Mae Koebbe Acnp.
Where is Kathryn Small located?
Kathryn Small practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-6665.
What is Kathryn Small's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kathryn Small enrolled in Medicare?
Yes. Kathryn Small is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kathryn Small's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Small reassigns Medicare benefits to 6 organizations: Kettering Independent Medical Group Inc (Miamisburg, OH), Usacs Critical Care Medicine Services Of Ohio, LLC (Springfield, OH), Usacs Integrated Acute Care Services Of Ohio, LLC (Springfield, OH), Hospitalist Medicine Physicians Of Ohio-Columbus II Professional Corp (Chillicothe, OH), Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Small's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathryn Small accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and Oscar Health Insurance list Kathryn Small as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kathryn Small affiliated with any hospitals?
According to CMS data, Kathryn Small is affiliated with Mercy Health - Fairfield Hospital, Mercy Health - West Hospital and Soin Medical Center.
When was this NPI record last updated?
The NPPES record for Kathryn Small was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kathryn Mae Small, ACNP · NPI 1194068361
Acute Care physician in Kettering, Ohio. Individual provider, active in the CMS NPPES registry since April 5, 2013.
## Identity
- **NPI:** 1194068361 (Entity type: Individual)
- **Enumerated:** April 5, 2013
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** APRN.CNP.14097 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 3535 SOUTHERN BLVD, Kettering, OH 45429-1221
- **Phone:** (937) 395-6665 · **Fax:** (937) 395-6668
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Kettering Independent Medical Group Inc (NPI 1629387865, Miamisburg, OH); Usacs Critical Care Medicine Services Of Ohio, LLC (NPI 1104560580, Springfield, OH); Usacs Integrated Acute Care Services Of Ohio, LLC (NPI 1043805690, Springfield, OH); Hospitalist Medicine Physicians Of Ohio-Columbus II Professional Corp (NPI 1861038069, Chillicothe, OH); Hospitalist Medicine Physicians Of Ohio, Professional Corporation (NPI 1043572290, Columbus, OH); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2012
## Record status
- **NPPES last updated:** April 1, 2025
- **Other identifiers:** Medicaid 0082730 (OH); Medicaid 201199110 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1194068361) · Data from the CMS NPPES public registry.