KATIE ODOM NP
NPI 1194462010
Nurse Practitioner in Farmington, MO

Q: 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.

Q: What is Katie Odom's specialty?

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

Q: 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 10 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 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: August 02, 2026.

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

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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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

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.

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