Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katelyn Marie Pericola, FNP-C

Individual provider Family Nurse Practitioner · NPI 1356196141

Katelyn Marie Pericola, FNP-C is a Nurse Practitioner in Olathe, Kansas. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Kansas.

Years since qualifying
4
Licensed in
KS
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

15235 W 172nd Pl
Olathe, KS 66062-7508
Phone: (913) 530-3241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 82133 (KS)

Record details

NPI number1356196141
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedApril 23, 2024
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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