KAITLYN MARIE RAUWERDINK PHYSICIAN ASSISTANT
NPI 1417455817
Physician Assistant in Little Rock, AR

Active since January 31, 2018PECOS EnrolledAccepts Medicare Assignment
2 SAINT VINCENT CIR FL 6, LITTLE ROCK, AR 72205(501) 265-0619 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaitlyn Marie Rauwerdink Physician Assistant NPPES

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

KAITLYN MARIE RAUWERDINK PHYSICIAN ASSISTANT (NPI 1417455817) is an individual physician assistant in Little Rock, Arkansas and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Holy Family Memorial, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417455817
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLYN MARIE RAUWERDINKCredential: PHYSICIAN ASSISTANT
Location Address2 SAINT VINCENT CIR FL 6Little Rock, AR 72205-5423
Mailing Address6412 Pawnee DrNorth Little Rock, AR 72116-5790 · (920) 980-4672
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 31, 2018
Last NPPES UpdateMarch 17, 2018
NPI 1417455817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

2 SAINT VINCENT CIR FL 6, Little Rock, AR 72205

Other Names 1

Former Name (1)Kaitlyn Marie Molter

Secondary Practice Locations 2

Location 12201 Wildwood AveSherwood, AR 72120-5074 · Phone (501) 834-1800
Location 22 Saint Vincent CirLittle Rock, AR 72205-5423 · Phone (501) 552-3000

Accepted Insurance

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

Kaitlyn Marie Rauwerdink Physician Assistant 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 ID7719248442
PECOS Enrollment IDI20251021000157
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
138 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services48 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
26 services26 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
23 services18 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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 4

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

Hospitalist
2 SAINT VINCENT CIR FL 6
LITTLE ROCK, AR 72205
Physician Assistant
2 SAINT VINCENT CIR FL 6
LITTLE ROCK, AR 72205
Physician Assistant
2 SAINT VINCENT CIR FL 6
LITTLE ROCK, AR 72205
Physician Assistant (Medical)
2 SAINT VINCENT CIR FL 6
LITTLE ROCK, AR 72205

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 Kaitlyn Rauwerdink's NPI number?

The NPI number for Kaitlyn Rauwerdink is 1417455817. It was assigned to this individual provider in the NPPES registry on January 31, 2018. The provider is also known as Kaitlyn Marie Molter.

Where is Kaitlyn Rauwerdink located?

Kaitlyn Rauwerdink practices at 2 Saint Vincent Cir Fl 6, Little Rock, AR 72205. The listed phone number is (501) 265-0619.

What is Kaitlyn Rauwerdink's specialty?

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

Is Kaitlyn Rauwerdink enrolled in Medicare?

Yes. Kaitlyn Rauwerdink 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.

What insurance does Kaitlyn Rauwerdink accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Kaitlyn Rauwerdink 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.

Is Kaitlyn Rauwerdink affiliated with any hospitals?

According to CMS data, Kaitlyn Rauwerdink is affiliated with Holy Family Memorial.

When was this NPI record last updated?

The NPPES record for Kaitlyn Rauwerdink was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.