DR. KATELIN WILDER WIXSON MD
NPI 1104576701
Internal Medicine in Jennings, LA
About Dr. Katelin Wilder Wixson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATELIN WILDER WIXSON MD (NPI 1104576701) is an individual internal medicine provider in Jennings, Louisiana, licensed in Louisiana (345986) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and maintains a secondary practice location in Baton Rouge.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Dr. Katelin Wilder Wixson Md 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Our Lady Of The Lake Regional Medical Center
Acute Care Hospitals · Baton Rouge, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Katelin Wixson's NPI number?
The NPI number for Katelin Wixson is 1104576701. It was assigned to this individual provider in the NPPES registry on March 25, 2022. The provider is also known as Katelin Rose Wixson.
Where is Katelin Wixson located?
Katelin Wixson practices at 1322 Elton Rd Ste H, Jennings, LA 70546. The listed phone number is (337) 246-7200.
What is Katelin Wixson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Katelin Wixson enrolled in Medicare?
Yes. Katelin Wixson 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 Katelin Wixson accept?
Health plans from HMO Louisiana list Katelin Wixson 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 Katelin Wixson affiliated with any hospitals?
According to CMS data, Katelin Wixson is affiliated with Our Lady Of The Lake Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Katelin Wixson was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Dr. Katelin Wilder Wixson, MD · NPI 1104576701
Internal Medicine physician in Jennings, Louisiana. Individual provider, active in the CMS NPPES registry since March 25, 2022.
## Identity
- **NPI:** 1104576701 (Entity type: Individual)
- **Enumerated:** March 25, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 345986 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1322 ELTON RD STE H, Jennings, LA 70546-4100
- **Phone:** (337) 246-7200 · **Fax:** (337) 246-7202
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 2022
## Record status
- **NPPES last updated:** August 11, 2026
- **Other identifiers:** Medicaid 2588397 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104576701) · Data from the CMS NPPES public registry.