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KATELYN AMANDA STULTS NP
NPI 1144827072
Nurse Practitioner - Family in Los Alamitos, CA

Active since October 04, 2020PECOS Enrolled
3742 KATELLA AVE STE 302, LOS ALAMITOS, CA 90720(562) 702-3825(323) 302-4581 Get Directions Write a Review

NPPES record last updated: May 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2024, Oct 4, 2020 (2 updates tracked since 2020).

About Katelyn Amanda Stults Np NPPES

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

KATELYN AMANDA STULTS NP (NPI 1144827072) is an individual family provider in Los Alamitos, California, licensed in California (95027104) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Alamitos.

NPPES Registry Identity

NPI1144827072
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATELYN AMANDA STULTSCredential: NP
Location Address3742 KATELLA AVE STE 302Los Alamitos, CA 90720-3172
Mailing Address18316 Taylor CtTorrance, CA 90504-5450 · (610) 513-8182
Phone(562) 702-3825
Fax(323) 302-4581
Sole ProprietorNo
Enumeration DateOctober 4, 2020
Last NPPES UpdateMay 4, 20242 updates tracked since enumeration
NPPES CertifiedMay 4, 2024
✔ NPI 1144827072 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 CA · 95027104
3742 KATELLA AVE STE 302, Los Alamitos, CA 90720
Open in Google Maps ↗

Secondary Practice Location 1

Location 13742 Katella Ave Ste 302Los Alamitos, CA 90720-3172 · Phone (562) 936-0292 · Fax (562) 936-1943

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Amanda Stults Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90720 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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

MOBILE SKIN SOLUTIONS LLC
Clinic/Center (Medical Specialty)
3742 KATELLA AVE STE 302
LOS ALAMITOS, CA 90720
Orange County (562) 936-0292

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 Stults's NPI number?

The NPI number for Katelyn Stults is 1144827072. It was assigned to this individual provider in the NPPES registry on October 4, 2020.

Where is Katelyn Stults located?

Katelyn Stults practices at 3742 Katella Ave Ste 302, Los Alamitos, CA 90720. The listed phone number is (562) 702-3825.

What is Katelyn Stults's specialty?

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

Is Katelyn Stults enrolled in Medicare?

Yes. Katelyn Stults is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katelyn Stults was last updated on May 4, 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.