KATELYN MCKINLEY FNP-C
NPI 1083429401
Nurse Practitioner - Family in Canton, NY
About Katelyn Mckinley Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN MCKINLEY FNP-C (NPI 1083429401) is an individual family provider in Canton, New York, licensed in New York (355341) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katelyn Mckinley Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Katelyn Mckinley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Canton, NY 13617
- Reassigned Medicare billing, New York enrollment
- 199 clinicians in this Medicare group
Potsdam, NY 13676
- Reassigned Medicare billing, New York enrollment
- 414 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rochester General Hospital
Acute Care Hospitals · Rochester, NYCanton-Potsdam Hospital
Acute Care Hospitals · Potsdam, NYCarthage Area Hospital, Inc
Critical Access Hospitals · Carthage, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mckinley's NPI number?
The NPI number for Katelyn Mckinley is 1083429401. It was assigned to this individual provider in the NPPES registry on February 12, 2025.
Where is Katelyn Mckinley located?
Katelyn Mckinley practices at 39 W Main St, Canton, NY 13617. The listed phone number is (315) 379-4700.
What is Katelyn Mckinley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Katelyn Mckinley enrolled in Medicare?
Yes. Katelyn Mckinley 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.
Which organizations bill Medicare for Katelyn Mckinley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Mckinley reassigns Medicare benefits to 2 organizations: Carthage Area Hospital Inc (Canton, NY) and Canton-Potsdam Hospital (Potsdam, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Mckinley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Katelyn Mckinley affiliated with any hospitals?
According to CMS data, Katelyn Mckinley is affiliated with Rochester General Hospital, Canton-Potsdam Hospital and Carthage Area Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Katelyn Mckinley was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Katelyn Mckinley, FNP-C · NPI 1083429401
Family physician in Canton, New York. Individual provider, active in the CMS NPPES registry since February 12, 2025.
## Identity
- **NPI:** 1083429401 (Entity type: Individual)
- **Enumerated:** February 12, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 355341 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 39 W MAIN ST, Canton, NY 13617-1358
- **Phone:** (315) 379-4700 · **Fax:** (315) 713-6512
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carthage Area Hospital Inc (NPI 1154193233, Canton, NY); Canton-Potsdam Hospital (NPI 1568548782, Potsdam, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 12, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1083429401) · Data from the CMS NPPES public registry.