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KATELYN GILLESPIE
NPI 1366310591
Physician Assistant in Philadelphia, PA

Active since October 28, 2025PECOS EnrolledAccepts Medicare Assignment
4201 HENRY AVE, PHILADELPHIA, PA 19144(215) 951-0208 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelyn Gillespie NPPES

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

KATELYN GILLESPIE (NPI 1366310591) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Colorado (PA.0009537) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Golden, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366310591
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATELYN GILLESPIE
Location Address4201 HENRY AVEPhiladelphia, PA 19144-5409
Mailing Address4201 Henry AvePhiladelphia, PA 19144-5409
Phone(215) 951-0208
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 28, 2025
Last NPPES UpdateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1366310591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · PA.0009537
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4201 HENRY AVE, Philadelphia, PA 19144
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Secondary Practice Location 1

Location 112905 W 40th Ave Ste 515Golden, CO 80401-2794 · Phone (303) 665-2603

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

Katelyn Gillespie 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 ID6204313224
PECOS Enrollment IDI20260121003339
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 19144 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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 20

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

BENJAMIN G COCHRAN
Specialist/Technologist (Athletic Trainer)
4201 HENRY AVE
PHILADELPHIA, PA 19144
Philadelphia County (215) 951-2700
JUSTIN CHAO PA-C
Physician Assistant
4201 HENRY AVE
PHILADELPHIA, PA 19144
Philadelphia County (215) 951-2800
KATHERINE ISABEL VAN SCHOONHOVEN
Student in an Organized Health Care Education/Training Program
4201 HENRY AVE
PHILADELPHIA, PA 19144
Philadelphia County (215) 951-2800
RACHAEL SMALFUS ATC
Specialist/Technologist (Athletic Trainer)
4201 HENRY AVE
PHILADELPHIA, PA 19144
Philadelphia County (215) 951-2717
QUINN KEENAN
Specialist/Technologist (Athletic Trainer)
4201 HENRY AVE
PHILADELPHIA, PA 19144
Philadelphia County (856) 834-5741
MR. ANTHONY MICHAEL LOTECK
Student in an Organized Health Care Education/Training Program
4201 HENRY AVE
PHILADELPHIA, PA 19144
Philadelphia County (215) 951-2700
TEAGEN HAY
Specialist/Technologist (Athletic Trainer)
4201 HENRY AVE
PHILADELPHIA, PA 19144
Philadelphia County (609) 442-6342
KOURTNEY JANE SNIGAR
Specialist/Technologist (Athletic Trainer)
4201 HENRY AVE
PHILADELPHIA, PA 19144
Philadelphia County (215) 951-2700

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 Gillespie's NPI number?

The NPI number for Katelyn Gillespie is 1366310591. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Katelyn Gillespie located?

Katelyn Gillespie practices at 4201 Henry Ave, Philadelphia, PA 19144. The listed phone number is (215) 951-0208.

What is Katelyn Gillespie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katelyn Gillespie enrolled in Medicare?

Yes. Katelyn Gillespie 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.

When was this NPI record last updated?

The NPPES record for Katelyn Gillespie was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.