KATHARINE DALTON NP
NPI 1194189597
Nurse Practitioner in Lawrenceburg, IN

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
368 BIELBY RD, LAWRENCEBURG, IN 47025(859) 212-0497(859) 577-0791 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 26, 2025, Jun 26, 2025, Feb 25, 2025 and 3 more (6 updates tracked since 2021).

About Katharine Dalton Np NPPES

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

KATHARINE DALTON NP (NPI 1194189597) is an individual nurse practitioner in Lawrenceburg, Indiana, licensed in Indiana (71010979A) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1194189597
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHARINE DALTONCredential: NP
Location Address368 BIELBY RDLawrenceburg, IN 47025-1099
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 212-0497 · Fax (859) 577-0791
Fax(859) 577-0791
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 12, 2016
Last NPPES UpdateDecember 26, 20256 updates tracked since enumeration
NPPES CertifiedDecember 26, 2025
NPI 1194189597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in IN · 71010979A Licensed in KY · 3015910 Licensed in OH · APRN.CNP.18918 Licensed in IN · 28265553A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
368 BIELBY RD, Lawrenceburg, IN 47025

Accepted 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

Katharine Dalton Np 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 ID1759680044
PECOS Enrollment IDI20210510001071, I20210519001789
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
368 services247 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
277 services187 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
30 services23 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services20 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150086
Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County
Emergency services Birthing friendly

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47025 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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers16 claims2,040 services$5.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Surgery
368 BIELBY RD, SUITE 100
LAWRENCEBURG, IN 47025
Plastic Surgery
368 BIELBY RD
LAWRENCEBURG, IN 47025
Surgery
368 BIELBY RD
LAWRENCEBURG, IN 47025
Surgery
368 BIELBY RD
LAWRENCEBURG, IN 47025
Nurse Practitioner
368 BIELBY RD
LAWRENCEBURG, IN 47025
Surgery
368 BIELBY RD, SUITE 100
LAWRENCEBURG, IN 47025
Surgery
368 BIELBY RD, SUITE 100
LAWRENCEBURG, IN 47025
Urology
368 BIELBY RD
LAWRENCEBURG, IN 47025

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 Katharine Dalton's NPI number?

The NPI number for Katharine Dalton is 1194189597. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Katharine Dalton located?

Katharine Dalton practices at 368 Bielby Rd, Lawrenceburg, IN 47025. The listed phone number is (859) 212-0497.

What is Katharine Dalton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katharine Dalton enrolled in Medicare?

Yes. Katharine Dalton 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 Katharine Dalton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Katharine Dalton 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 Katharine Dalton affiliated with any hospitals?

According to CMS data, Katharine Dalton is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Katharine Dalton was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.