KATHRYN MAE SMALL ACNP
NPI 1194068361
Nurse Practitioner - Acute Care in Kettering, OH

Q: 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.

Q: What is Kathryn Small's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: 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 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.

Active since April 05, 2013PECOS EnrolledAccepts Medicare Assignment

84.5/100

CMS Quality Rating

3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-6665(937) 395-6668 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2025, Nov 20, 2020, Feb 21, 2019 and 1 more (4 updates tracked since 2016).

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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

NPI1194068361

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKATHRYN MAE SMALLCredential: ACNP

Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221

Mailing Address3535 Southern BlvdKettering, OH 45429-1221 · (937) 395-6665 · Fax (937) 395-6668

Phone(937) 395-6665

Fax(937) 395-6668

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2012

Enumeration DateApril 5, 2013

Last NPPES UpdateApril 1, 20254 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1194068361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OH · APRN.CNP.14097

Also ListedNurse PractitionerTaxonomy 363L00000X · License 14097 (OH)

3535 SOUTHERN BLVD, Kettering, OH 45429

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Other Names 1

Former Name (1)Kathryn Mae Koebbe Acnp

Other Identifiers 2

Medicaid0082730OH

Medicaid201199110IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2769610146

PECOS Enrollment IDI20150924003132

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.

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

21 services20 patients

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, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360056

Location3000 Mack RoadFairfield, OH 45014 · Butler County

Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360234

Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County

Emergency services Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Physician 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.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

84.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.16

Promoting Interoperability

100

Improvement Activities

Cost

67.18

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

99%171 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

RAGHEED KATKHUDA MD

Pediatrics (Neonatal-Perinatal Medicine)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 752-2304

ANNEMARIE ROSE UNDERWOOD PA-C

Physician Assistant

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-8166

SYLVIA POLENAKOVIK M.D.

Internal Medicine

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-6665

SUSAN KAY ZANN RNFS

Registered Nurse (Registered Nurse First Assistant)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-8608

SWATHI DATLA M.B.B.S.

Hospitalist

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-6665

DR. LOREN ANN NALLU MD

Pediatrics (Neonatal-Perinatal Medicine)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 752-2304

DR. JEREMY LAWTON CHAPMAN D.O.

Hospitalist

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-6665

DR. RAHUL RAO DO

Radiology (Diagnostic Radiology)

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-8627

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.

What insurance does Kathryn Small accept?

Health plans from CareSource 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 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.