KATELYN JEANNE LARACY PNP-BC
NPI 1235400102
Nurse Practitioner - Pediatrics in Boston, MA
About Katelyn Jeanne Laracy Pnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN JEANNE LARACY PNP-BC (NPI 1235400102) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (RN264377) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katelyn Jeanne Laracy Pnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katelyn Laracy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 153 clinicians in this Medicare group
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 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Laracy's NPI number?
The NPI number for Katelyn Laracy is 1235400102. It was assigned to this individual provider in the NPPES registry on January 24, 2012.
Where is Katelyn Laracy located?
Katelyn Laracy practices at 300 Longwood Ave Department Of Neurology Fegan 11, Boston, MA 02115. The listed phone number is (617) 355-6388.
What is Katelyn Laracy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Katelyn Laracy enrolled in Medicare?
Yes. Katelyn Laracy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katelyn Laracy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Laracy reassigns Medicare benefits to C H Neurology Foundation Inc (Boston, MA). The 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 Katelyn Laracy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katelyn Laracy accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Katelyn Laracy 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 Katelyn Laracy was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Katelyn Jeanne Laracy, PNP-BC · NPI 1235400102
Pediatrics physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since January 24, 2012.
## Identity
- **NPI:** 1235400102 (Entity type: Individual)
- **Enumerated:** January 24, 2012
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** RN264377 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LONGWOOD AVE, DEPARTMENT OF NEUROLOGY FEGAN 11, Boston, MA 02115-5724
- **Phone:** (617) 355-6388 · **Fax:** (617) 730-0284
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** C H Neurology Foundation Inc (NPI 1063432417, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1235400102) · Data from the CMS NPPES public registry.