KATELYN MADELINE WIRTZ
NPI 1083282891
Nurse Practitioner - Psychiatric/Mental Health in West Haven, CT

Q: What is Katelyn Wirtz's NPI number?

The NPI number for Katelyn Wirtz is 1083282891. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Q: What is Katelyn Wirtz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katelyn Wirtz was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since June 16, 2021PECOS Enrolled

285 MAIN ST, WEST HAVEN, CT 06516(203) 503-3000 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 16, 2021, Jun 16, 2021 (2 updates tracked since 2021).

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About Katelyn Madeline Wirtz NPPES

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

KATELYN MADELINE WIRTZ (NPI 1083282891) is an individual psychiatric/mental health provider in West Haven, Connecticut, licensed in Connecticut (9910) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083282891

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKATELYN MADELINE WIRTZ

Location Address285 MAIN STWest Haven, CT 06516-7307

Mailing Address400 Columbus Avenue, Credentialing SpecialistNew Haven, CT 06519-1233 · (203) 503-3174 · Fax (203) 503-3183

Phone(203) 503-3000

Sole ProprietorNo

Enumeration DateJune 16, 2021

Last NPPES UpdateSeptember 16, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2021

✔ NPI 1083282891 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 CT · 9910

285 MAIN ST, West Haven, CT 06516

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Madeline Wirtz 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 06516 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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 6

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

LISA MARIE MCLAURIN LMSW

Social Worker