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Active NPI 1194068361 Individual Practitioner Female Practitioner

Kathryn Mae Small , ACNP

Nurse Practitioner - Acute Care • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kathryn Small, ACNP is a certified Nurse Practitioner - Acute Care practicing in Kettering, OH. With approximately 14 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2012, Kathryn Small delivers high-quality medical care to the local community at 3535 SOUTHERN BLVD.

Kathryn Small maintains professional affiliations with Usacs Integrated Acute Care Services Of Ohio Llc, Kettering Independent Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, insertion of artery tube for blood sampling or infusion through skin, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3535 Southern Blvd

Kettering, OH 454291221

Telephone 9373956665
Fax 9373956668
Associated Practice Facility / Clinic
🏢 Kettering Physiatrists, Inc. Facility NPI 1902893035

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Kettering, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +6.2 yrs vs City Avg
City Avg: 7.8 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
29 Specialists

Practicing in Kettering, OH (1690 Statewide)

Telehealth Adoption Rate
6.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Small (14 Years) 14 Yrs
Kettering Specialty Average (7.8 Years) 7.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
21 20 $479.00 $173.25

Medical Specialties & State Licenses

CMS Verified: 2025-04-01
Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License OH APRN.CNP.14097

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License OH 14097

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0082730 (OH)
Medicaid State Provider ID
201199110 (IN)

Hospital & Practice Group Affiliations

Usacs Integrated Acute Care Services Of Ohio Llc

3300 Mercy Health Blvd, Cincinnati, OH 452111103

Phone: 5132155000

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Kettering Independent Medical Group Inc

3535 Pentagon Park Blvd, Dayton, OH 454311705

Phone: 9374902264

Usacs Integrated Acute Care Services Of Ohio Llc

7500 State Rd, Cincinnati, OH 452552439

Phone: 5136244500

Usacs Integrated Acute Care Services Of Ohio Llc

100 Medical Ctr Dr, Springfield, OH 455042687

Phone: 9375231461

Kettering Independent Medical Group Inc

3535 Pentagon Blvd, Beavercreek, OH 454311705

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003842550

Doctor of Medicine (M.D.)

NPI 1013222603

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

NPI 1013341098

Doctor of Osteopathic Medicine (D.O.)

NPI 1023258381

Doctor of Medicine (M.D.)

Jennifer Allender , PA-C

Physician Assistant - Medical

NPI 1033624192

Physician Assistant (Certified)

Naveen Vijayam

Hospitalist

NPI 1033747092

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2019

Nurse Practitioner (License #14097 in OH)

NPI Profile Active May 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2016

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373956665)

📍
Updated Business Mailing Address May 10, 2016

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373956665)

👤
Provider Name / Credentials Updated May 10, 2016

Recorded as KATHRYN SMALL, ACNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2016

Nurse Practitioner (License #14097 in OH)

🟢
Initial NPI Registration & Enumeration April 05, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194068361
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2013
Last Update: April 01, 2025
Sole Proprietor: No

Mailing Address

3535 Southern Blvd

Kettering, OH 454291221

Phone: 9373956665

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.