KAITLIN C PATTISHALL CRNP
NPI 1245650712
Nurse Practitioner - Family in Philadelphia, PA
About Kaitlin C Pattishall Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLIN C PATTISHALL CRNP (NPI 1245650712) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP013751) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaitlin C Pattishall Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kaitlin Pattishall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Philadelphia, PA 19130
- Reassigned Medicare billing, Pennsylvania enrollment
- 447 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Temple Health - Chestnut Hill Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Kaitlin Pattishall's NPI number?
The NPI number for Kaitlin Pattishall is 1245650712. It was assigned to this individual provider in the NPPES registry on April 23, 2014.
Where is Kaitlin Pattishall located?
Kaitlin Pattishall practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-2050.
What is Kaitlin Pattishall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kaitlin Pattishall enrolled in Medicare?
Yes. Kaitlin Pattishall 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.
Which organizations bill Medicare for Kaitlin Pattishall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Pattishall reassigns Medicare benefits to 2 organizations: University Of Penn-Medical Group (Philadelphia, PA) and Temple Physicians Inc. (Philadelphia, PA). Each 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 Kaitlin Pattishall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kaitlin Pattishall affiliated with any hospitals?
According to CMS data, Kaitlin Pattishall is affiliated with Temple Health - Chestnut Hill Hospital.
When was this NPI record last updated?
The NPPES record for Kaitlin Pattishall was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kaitlin C Pattishall, CRNP · NPI 1245650712
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 23, 2014.
## Identity
- **NPI:** 1245650712 (Entity type: Individual)
- **Enumerated:** April 23, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP013751 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (215) 662-2050
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA); Temple Physicians Inc. (NPI 1124179858, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** April 23, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1245650712) · Data from the CMS NPPES public registry.