KATRINA POULSEN NP-C
NPI 1396342713
Nurse Practitioner - Family in St. George, UT

Active since October 08, 2020PECOS EnrolledAccepts Medicare Assignment
88.59/100
CMS Quality Rating
617 EAST RRIVERSIDE DR, STE 301, ST. GEORGE, UT 84790(435) 216-7000(435) 216-7001 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2023, Sep 15, 2021, Oct 8, 2020 (3 updates tracked since 2020).

About Katrina Poulsen Np-c NPPES

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

KATRINA POULSEN NP-C (NPI 1396342713) is an individual family provider in St. George, Utah, licensed in Utah (70226834405) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in St George, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396342713
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATRINA POULSENCredential: NP-C
Location Address617 EAST RRIVERSIDE DR, STE 301St. George, UT 84790
Mailing Address617 E Riverside Dr Ste 301St George, UT 84790-8722 · (435) 216-7000 · Fax (435) 216-7001
Fax(435) 216-7001
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 8, 2020
Last NPPES UpdateMarch 30, 20233 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
NPI 1396342713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in UT · 70226834405
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 835835 (NV)
617 EAST RRIVERSIDE DR, St. George, UT 84790

Secondary Practice Location 1

Location 12107 W Sunset Blvd Ste 102St George, UT 84770-7140 · Phone (435) 274-2980 · Fax (435) 274-0866

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

Katrina Poulsen Np-c 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 ID7113339458
PECOS Enrollment IDI20201210001799
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 84790 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

88.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.81
Promoting Interoperability99
Improvement Activities40

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 Katrina Poulsen's NPI number?

The NPI number for Katrina Poulsen is 1396342713. It was assigned to this individual provider in the NPPES registry on October 8, 2020.

Where is Katrina Poulsen located?

Katrina Poulsen practices at 617 East Rriverside Dr Ste 301, St. George, UT 84790. The listed phone number is (435) 216-7000.

What is Katrina Poulsen's specialty?

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

Is Katrina Poulsen enrolled in Medicare?

Yes. Katrina Poulsen 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 Katrina Poulsen accept?

Health plans from Blue Cross Blue Shield of Arizona, Molina Healthcare and University of Utah Health Plans list Katrina Poulsen 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 Katrina Poulsen was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.