KATIE SUTHERLAND
NPI 1902695786
Nurse Practitioner - Psychiatric/Mental Health in Middletown, KY

Active since May 06, 2025PECOS Enrolled
12204 SHELBYVILLE RD, MIDDLETOWN, KY 40243(502) 200-5228 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2025, May 6, 2025 (2 updates tracked since 2025).

About Katie Sutherland NPPES

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

KATIE SUTHERLAND (NPI 1902695786) is an individual psychiatric/mental health provider in Middletown, Kentucky, licensed in Kentucky (4038586) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902695786
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATIE SUTHERLAND
Location Address12204 SHELBYVILLE RDMiddletown, KY 40243-1450
Mailing Address12116 Bay Run DrLouisville, KY 40245-6402 · (502) 802-4440
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 6, 2025
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1902695786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in KY · 4038586
12204 SHELBYVILLE RD, Middletown, KY 40243

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katie Sutherland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426520313
PECOS Enrollment IDI20260611001476
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 40243 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 3

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

Nurse Practitioner (Psychiatric/Mental Health)
12204 SHELBYVILLE RD
LOUISVILLE, KY 40243
Nurse Practitioner (Psychiatric/Mental Health)
12204 SHELBYVILLE RD
LOUISVILLE, KY 40243
Durable Medical Equipment & Medical Supplies
12204 SHELBYVILLE RD, SUITE 4B
LOUISVILLE, KY 40243

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 Sutherland's NPI number?

The NPI number for Katie Sutherland is 1902695786. It was assigned to this individual provider in the NPPES registry on May 6, 2025.

Where is Katie Sutherland located?

Katie Sutherland practices at 12204 Shelbyville Rd, Middletown, KY 40243. The listed phone number is (502) 200-5228.

What is Katie Sutherland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Katie Sutherland enrolled in Medicare?

Yes. Katie Sutherland is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katie Sutherland was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.