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

Active since June 16, 2021PECOS EnrolledAccepts Medicare Assignment
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: August 02, 2026.

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

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 and is a graduate of Yale University School Of Medicine (2021).

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
Medical School CMSYale University School Of MedicineGraduated 2021
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
Open in Google Maps ↗

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

Katelyn Madeline Wirtz 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 ID1759788789
PECOS Enrollment IDI20210917001928
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
285 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 503-3000
MARIA BERNADETTE TELLE
Social Worker (Clinical)
285 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 503-3000
BERIT MANN RN
Registered Nurse
285 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 503-3400
NIKKI ROSE KATZ LMSW
Social Worker
285 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 503-3350
MR. NATHANIEL EDWARD AUYEUNG LCSW
Social Worker (Clinical)
285 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (860) 803-0188
ANNE THERESE LOUISE DE GUZMAN LMFT
Marriage & Family Therapist
285 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 503-3409

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 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.

Where is Katelyn Wirtz located?

Katelyn Wirtz practices at 285 Main St, West Haven, CT 06516. The listed phone number is (203) 503-3000.

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.

Is Katelyn Wirtz enrolled in Medicare?

Yes. Katelyn Wirtz 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.

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 4 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.