1. Home
  2. Directory
  3. Arkansas
  4. Fayetteville
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHERINE GRACE ROSS PA
NPI 1861077109
Physician Assistant in Fayetteville, AR

Active since March 17, 2021PECOS Enrolled
3 E APPLEBY RD STE 202, FAYETTEVILLE, AR 72703(479) 404-1140(479) 404-1141 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 26, 2026, Mar 19, 2021 (2 updates tracked since 2021).

About Katherine Grace Ross Pa NPPES

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

KATHERINE GRACE ROSS PA (NPI 1861077109) is an individual physician assistant in Fayetteville, Arkansas, licensed in Arkansas (PA-958) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861077109
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE GRACE ROSSCredential: PA
Location Address3 E APPLEBY RD STE 202Fayetteville, AR 72703-3158
Mailing Address616 E 7th St Apt 6Little Rock, AR 72202-2544 · (501) 317-5572
Phone(479) 404-1140
Fax(479) 404-1141
Sole ProprietorNo
Enumeration DateMarch 17, 2021
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1861077109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AR · PA-958
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedDietitian, RegisteredTaxonomy 133V00000X
3 E APPLEBY RD STE 202, Fayetteville, AR 72703
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Grace Ross Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 72703 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
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

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

MRS. DONITA J CLARK R.D., L.D.
Dietitian, Registered
3 E APPLEBY RD STE 202
FAYETTEVILLE, AR 72703
Washington County (479) 404-1140

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 Katherine Ross's NPI number?

The NPI number for Katherine Ross is 1861077109. It was assigned to this individual provider in the NPPES registry on March 17, 2021.

Where is Katherine Ross located?

Katherine Ross practices at 3 E Appleby Rd Ste 202, Fayetteville, AR 72703. The listed phone number is (479) 404-1140.

What is Katherine Ross's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katherine Ross enrolled in Medicare?

Yes. Katherine Ross is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Ross was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.