MS. KAITLYN DICKERT PA-C
NPI 1396102307
Physician Assistant - Medical in Crystal River, FL

Q: What is Kaitlyn Dickert's NPI number?

The NPI number for Kaitlyn Dickert is 1396102307. It was assigned to this individual provider in the NPPES registry on January 21, 2016.

Q: What is Kaitlyn Dickert's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlyn Dickert was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 21, 2016PECOS Enrolled

1250 N VANTAGE POINT DR, CRYSTAL RIVER, FL 34429(352) 795-0644 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2020, May 14, 2019, Jan 21, 2016 (3 updates tracked since 2016).

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About Ms. Kaitlyn Dickert Pa-c NPPES

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

MS. KAITLYN DICKERT PA-C (NPI 1396102307) is an individual medical provider in Crystal River, Florida, licensed in Florida (9112407) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396102307

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. KAITLYN DICKERTCredential: PA-C

Location Address1250 N VANTAGE POINT DRCrystal River, FL 34429-5736

Mailing Address1250 N Vantage Point DrCrystal River, FL 34429-5736 · (352) 795-0644

Phone(352) 795-0644

Sole ProprietorNo

Enumeration DateJanuary 21, 2016

Last NPPES UpdateMarch 5, 20203 updates tracked since enumeration

NPPES CertifiedMarch 5, 2020

✔ NPI 1396102307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · 9112407

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License ND7665 (FL)

1250 N VANTAGE POINT DR, Crystal River, FL 34429

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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)

Ms. Kaitlyn Dickert Pa-c 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$6.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

CAITLIN HALLEY CARROLL PA-C

Family Medicine (Adult Medicine)