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KATIE LYNN FITZPATRICK
NPI 1083559629
Nurse Practitioner - Pediatrics in Gaylord, MI

Active since April 21, 2026PECOS Enrolled
829 N CENTER AVE STE 230, GAYLORD, MI 49735(989) 731-7930 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 12, 2026, Apr 21, 2026 (2 updates tracked since 2026).

About Katie Lynn Fitzpatrick NPPES

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

KATIE LYNN FITZPATRICK (NPI 1083559629) is an individual pediatrics provider in Gaylord, Michigan, licensed in Michigan (4704358653) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grayling, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1083559629
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATIE LYNN FITZPATRICK
Location Address829 N CENTER AVE STE 230Gaylord, MI 49735-1595
Mailing Address829 N Center Ave Ste 230Gaylord, MI 49735-1595 · (989) 731-7930
Phone(989) 731-7930
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateApril 21, 2026
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1083559629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 4704358653
829 N CENTER AVE STE 230, Gaylord, MI 49735
Open in Google Maps ↗

Secondary Practice Location 1

Location 11250 E Michigan Ave Ste CGrayling, MI 49738-7074 · Phone (989) 348-0550

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Lynn Fitzpatrick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103395389
PECOS Enrollment IDI20260518000224
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katie Fitzpatrick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Munson Healthcare Otsego Memorial Hospital
Same address
Rural Health
829 N CENTER AVE
Gaylord, MI 49735
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1164628426 (989) 731-7708
Munson Healthcare Grayling
24 mi
Family Medicine
1200 W NORTH DOWN RIVER RD., SUITE C
Grayling, MI 49738
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group
NPI 1699275750 (989) 344-5910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49735 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

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

CLORISSA M MCEACHERN CPNP-PC
Nurse Practitioner (Pediatrics)
829 N CENTER AVE STE 230
GAYLORD, MI 49735
Otsego County (989) 731-7930

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 Katie Fitzpatrick's NPI number?

The NPI number for Katie Fitzpatrick is 1083559629. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Katie Fitzpatrick located?

Katie Fitzpatrick practices at 829 N Center Ave Ste 230, Gaylord, MI 49735. The listed phone number is (989) 731-7930.

What is Katie Fitzpatrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Katie Fitzpatrick enrolled in Medicare?

Yes. Katie Fitzpatrick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katie Fitzpatrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Fitzpatrick reassigns Medicare benefits to 2 organizations: Munson Healthcare Otsego Memorial Hospital (Gaylord, MI) and Munson Healthcare Grayling (Grayling, MI). 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 Katie Fitzpatrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Fitzpatrick accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Katie Fitzpatrick 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.

When was this NPI record last updated?

The NPPES record for Katie Fitzpatrick was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.