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MRS. KAITLYN MARIE MAHAFFY
NPI 1023879657
Nurse Practitioner - Family in Port Huron, MI

Active since January 22, 2024PECOS EnrolledAccepts Medicare Assignment
1210 10TH AVE, PORT HURON, MI 48060(810) 662-3505 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2026, Apr 10, 2025, Feb 12, 2025 (3 updates tracked since 2025).

About Mrs. Kaitlyn Marie Mahaffy NPPES

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

MRS. KAITLYN MARIE MAHAFFY (NPI 1023879657) is an individual family provider in Port Huron, Michigan, licensed in Michigan (4704360402) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1023879657
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KAITLYN MARIE MAHAFFY
Location Address1210 10TH AVEPort Huron, MI 48060-3406
Mailing Address1210 10th AvePort Huron, MI 48060-3406 · (810) 662-3505 · Fax (810) 662-3479
Phone(810) 662-3505
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2024
Enumeration DateJanuary 22, 2024
Last NPPES UpdateJanuary 22, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1023879657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704360402
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704360402 (MI)
1210 10TH AVE, Port Huron, MI 48060
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Kaitlyn Marie Amey

Secondary Practice Location 1

Location 13601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (248) 898-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Mrs. Kaitlyn Marie Mahaffy 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 ID9436670825
PECOS Enrollment IDI20250228002637
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 9

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

CASEY RENNO AGNP-C
Nurse Practitioner (Gerontology)
1210 10TH AVE
PORT HURON, MI 48060
St. Clair County (810) 662-3505
RACHEL DISTELRATH FNP-BC
Nurse Practitioner (Family)
1210 10TH AVE
PORT HURON, MI 48060
St. Clair County (810) 662-3505
BLUE WATER INTERNAL MEDICINE, PC
Internal Medicine
1210 10TH AVE
PORT HURON, MI 48060
St. Clair County (810) 622-3505
EMAD DAHER MD
Internal Medicine
1210 10TH AVE
PORT HURON, MI 48060
St. Clair County (810) 662-3505
HAILEY WILLOUGHBY FNP-C
Nurse Practitioner (Family)
1210 10TH AVE
PORT HURON, MI 48060
St. Clair County (810) 662-3505
LUNG DOCS OF AMERICA, PLLC
Internal Medicine (Pulmonary Disease)
1210 10TH AVE
PORT HURON, MI 48060
St. Clair County (810) 984-8470
MRS. MARY LYNN ZAREMBA NP, RN
Nurse Practitioner
1210 10TH AVE
PORT HURON, MI 48060
St. Clair County (810) 984-8470
LINDSAY MARLATT
Nurse Practitioner (Gerontology)
1210 10TH AVE
PORT HURON, MI 48060
St. Clair County (810) 662-3505

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 Kaitlyn Mahaffy's NPI number?

The NPI number for Kaitlyn Mahaffy is 1023879657. It was assigned to this individual provider in the NPPES registry on January 22, 2024. The provider is also known as Ms. Kaitlyn Marie Amey.

Where is Kaitlyn Mahaffy located?

Kaitlyn Mahaffy practices at 1210 10th Ave, Port Huron, MI 48060. The listed phone number is (810) 662-3505.

What is Kaitlyn Mahaffy's specialty?

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

Is Kaitlyn Mahaffy enrolled in Medicare?

Yes. Kaitlyn Mahaffy 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 Kaitlyn Mahaffy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kaitlyn Mahaffy 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.

Is Kaitlyn Mahaffy affiliated with any hospitals?

According to CMS data, Kaitlyn Mahaffy is affiliated with Lake Huron Medical Center and Mclaren Port Huron.

When was this NPI record last updated?

The NPPES record for Kaitlyn Mahaffy was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.