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KATIE ODOM NP
NPI 1194462010
Nurse Practitioner in Farmington, MO

Active since May 13, 2022PECOS EnrolledAccepts Medicare Assignment
1106 HAZEL LN, FARMINGTON, MO 63640(573) 756-6751(573) 760-8044 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2025, Mar 31, 2025, May 13, 2022 (3 updates tracked since 2022).

About Katie Odom Np NPPES

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

KATIE ODOM NP (NPI 1194462010) is an individual nurse practitioner in Farmington, Missouri, licensed in Missouri (2022009496) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bloomsdale, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194462010
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATIE ODOMCredential: NP
Location Address1106 HAZEL LNFarmington, MO 63640-1999
Mailing AddressPo Box 957683Saint Louis, MO 63195-9099 · (573) 756-6751 · Fax (573) 760-8044
Phone(573) 756-6751
Fax(573) 760-8044
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 13, 2022
Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1194462010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2022009496
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.
1106 HAZEL LN, Farmington, MO 63640
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Secondary Practice Location 1

Location 1255 BodermanBloomsdale, MO 63627-9099 · Phone (573) 483-9492

Other Identifiers 1

Other2022009496MO · Cnp License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Katie Odom 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 ID1658753124
PECOS Enrollment IDI20220729002687
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 Reassignments

2

Medicare enrollment records show Katie Odom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Parkland Health Center
0.3 mi
General Practice
1101 W LIBERTY ST
Farmington, MO 63640
  • Reassigned Medicare billing, Missouri enrollment
  • 71 clinicians in this Medicare group
NPI 1922016112 (573) 756-6451
Ste Genevieve County Memorial Hospital
25 mi
Rural Health
120 PLAZA DR
Ste Genevieve, MO 63670
  • Reassigned Medicare billing, Missouri enrollment
  • 37 clinicians in this Medicare group
NPI 1154871143 (573) 883-1199

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63640 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

GABRIELLE MARIE PLUMMER MSN, APRN, FNP-C
Nurse Practitioner
1106 HAZEL LN
FARMINGTON, MO 63640
St. Francois County (573) 756-6751
BRESLIN ELIZABETH MEYER DNP-FNP-BC
Nurse Practitioner
1106 HAZEL LN
FARMINGTON, MO 63640
St. Francois County (573) 756-6751
JENNA NEPHEW NP
Nurse Practitioner
1106 HAZEL LN
FARMINGTON, MO 63640
St. Francois County (573) 756-6751
REBECCA BUCHANAN NP-C
Nurse Practitioner
1106 HAZEL LN
FARMINGTON, MO 63640
St. Francois County (573) 756-6751
MAUREEN BORREGO PA
Physician Assistant
1106 HAZEL LN
FARMINGTON, MO 63640
St. Francois County (573) 756-6751
JENNA S DEKEN FNP
Nurse Practitioner (Family)
1106 HAZEL LN
FARMINGTON, MO 63640
St. Francois County (573) 756-6751
JAN ANGELES DO
Family Medicine
1106 HAZEL LN
FARMINGTON, MO 63640
St. Francois County (573) 756-6751
PARKLAND HEALTH CENTER
Clinic/Center (Rural Health)
1106 HAZEL LN
FARMINGTON, MO 63640
St. Francois County (573) 756-6751

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 Odom's NPI number?

The NPI number for Katie Odom is 1194462010. It was assigned to this individual provider in the NPPES registry on May 13, 2022.

Where is Katie Odom located?

Katie Odom practices at 1106 Hazel Ln, Farmington, MO 63640. The listed phone number is (573) 756-6751.

What is Katie Odom's specialty?

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

Is Katie Odom enrolled in Medicare?

Yes. Katie Odom 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 Katie Odom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Odom reassigns Medicare benefits to 2 organizations: Parkland Health Center (Farmington, MO) and Ste Genevieve County Memorial Hospital (Ste Genevieve, MO). 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 Katie Odom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Odom accept?

Health plans from UnitedHealthcare list Katie Odom 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.

When was this NPI record last updated?

The NPPES record for Katie Odom was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.