KAITLYN GOETSCH NP
NPI 1104673276
Nurse Practitioner - Family in Gulfport, MS

Active since May 06, 2024PECOS EnrolledAccepts Medicare Assignment
1102 45TH AVE, GULFPORT, MS 39501(228) 863-1036 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaitlyn Goetsch Np NPPES

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

KAITLYN GOETSCH NP (NPI 1104673276) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (906555) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104673276
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLYN GOETSCHCredential: NP
Location Address1102 45TH AVEGulfport, MS 39501-2504
Mailing Address570 E Woodrow Wilson AveJackson, MS 39216-4538 · (601) 576-7886
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 6, 2024
NPPES CertifiedMay 6, 2024
NPI 1104673276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 906555
1102 45TH AVE, Gulfport, MS 39501

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

Kaitlyn Goetsch Np 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 ID5496297202
PECOS Enrollment IDI20240607003089
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 39501 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 4

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

Nurse Practitioner
1102 45TH AVE
GULFPORT, MS 39501
Home Health
1102 45TH AVE
GULFPORT, MS 39501
Public Health or Welfare
1102 45TH AVE
GULFPORT, MS 39501
Nurse Practitioner (Women's Health)
1102 45TH AVE
GULFPORT, MS 39501

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 Kaitlyn Goetsch's NPI number?

The NPI number for Kaitlyn Goetsch is 1104673276. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Kaitlyn Goetsch located?

Kaitlyn Goetsch practices at 1102 45th Ave, Gulfport, MS 39501. The listed phone number is (228) 863-1036.

What is Kaitlyn Goetsch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kaitlyn Goetsch enrolled in Medicare?

Yes. Kaitlyn Goetsch 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 Kaitlyn Goetsch accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Kaitlyn Goetsch 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 Kaitlyn Goetsch was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.