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KATELYN MARIE PERICOLA FNP-C
NPI 1356196141
Nurse Practitioner - Family in Olathe, KS

Active since April 23, 2024PECOS Enrolled
15235 W 172ND PL, OLATHE, KS 66062(913) 530-3241 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katelyn Marie Pericola Fnp-c NPPES

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

KATELYN MARIE PERICOLA FNP-C (NPI 1356196141) is an individual family provider in Olathe, Kansas, licensed in Kansas (82133) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356196141
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATELYN MARIE PERICOLACredential: FNP-C
Location Address15235 W 172ND PLOlathe, KS 66062-7508
Mailing Address15235 W 172nd PlOlathe, KS 66062-7508 · (913) 530-3241
Phone(913) 530-3241
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 23, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1356196141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KS · 82133
15235 W 172ND PL, Olathe, KS 66062
Open in Google Maps ↗

Other Names 1

Former Name (1)Katelyn Marie Eichelberger Fnp-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Marie Pericola Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769979459
PECOS Enrollment IDI20251015004658
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 Reassignment

Medicare enrollment records show Katelyn Pericola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optima Pain Management LLC
8.0 mi
Pain Medicine
4800 W 135TH ST STE 190
Leawood, KS 66224
  • Reassigned Medicare billing, Kansas enrollment
  • 3 clinicians in this Medicare group
NPI 1629699038 (913) 558-0058

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 66062 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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 Katelyn Pericola's NPI number?

The NPI number for Katelyn Pericola is 1356196141. It was assigned to this individual provider in the NPPES registry on April 23, 2024. The provider is also known as Katelyn Marie Eichelberger Fnp-C.

Where is Katelyn Pericola located?

Katelyn Pericola practices at 15235 W 172nd Pl, Olathe, KS 66062. The listed phone number is (913) 530-3241.

What is Katelyn Pericola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katelyn Pericola enrolled in Medicare?

Yes. Katelyn Pericola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katelyn Pericola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Pericola reassigns Medicare benefits to Optima Pain Management LLC (Leawood, KS). The 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 Katelyn Pericola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Pericola accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Katelyn Pericola 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 Katelyn Pericola was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.