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KAITLYN ELIZABETH ENGLE MD
NPI 1114556875
Pediatrics - Pediatric Critical Care Medicine in Springfield, IL

Active since April 05, 2020PECOS Enrolled
415 N 9TH ST STE 4W64, SPRINGFIELD, IL 62702(217) 545-8000(217) 757-6654 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2023, Apr 5, 2020 (2 updates tracked since 2020).

About Kaitlyn Elizabeth Engle Md NPPES

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

KAITLYN ELIZABETH ENGLE MD (NPI 1114556875) is an individual pediatric critical care medicine provider in Springfield, Illinois, licensed in Illinois (036.165739) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114556875
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameKAITLYN ELIZABETH ENGLECredential: MD
Location Address415 N 9TH ST STE 4W64Springfield, IL 62702-5303
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (217) 545-2101
Phone(217) 545-8000
Fax(217) 757-6654
Sole ProprietorNo
Enumeration DateApril 5, 2020
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1114556875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in IL · 036.165739
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 036.165739 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
415 N 9TH ST STE 4W64, Springfield, IL 62702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Elizabeth Engle Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

KATELYN MARIE REED NP-C
Nurse Practitioner (Pediatrics)
415 N 9TH ST STE 4W64
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ALYSSA M BROWN CPNP-AC
Nurse Practitioner (Pediatrics)
415 N 9TH ST STE 4W64
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Engle's NPI number?

The NPI number for Kaitlyn Engle is 1114556875. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Kaitlyn Engle located?

Kaitlyn Engle practices at 415 N 9th St Ste 4w64, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Kaitlyn Engle's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kaitlyn Engle enrolled in Medicare?

Yes. Kaitlyn Engle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlyn Engle was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.