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KAITLIN JOANN NELSON PA-C
NPI 1457193427
Student in an Organized Health Care Education/Training Program in Anthony, FL

Active since June 11, 2024PECOS EnrolledAccepts Medicare Assignment
5101 NE 97TH STREET RD, ANTHONY, FL 32617(650) 815-5692 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kaitlin Joann Nelson Pa-c NPPES

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

KAITLIN JOANN NELSON PA-C (NPI 1457193427) is an individual student in an organized health care education/training program in Anthony, Florida and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457193427
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAITLIN JOANN NELSONCredential: PA-C
Location Address5101 NE 97TH STREET RDAnthony, FL 32617-3932
Mailing Address5101 Ne 97th Street RdAnthony, FL 32617-3932 · (650) 815-5692
Phone(650) 815-5692
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 11, 2024
NPPES CertifiedJune 11, 2024
✔ NPI 1457193427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5101 NE 97TH STREET RD, Anthony, FL 32617
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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 and accepts Medicare assignment

Kaitlin Joann Nelson Pa-c 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 ID2860960093
PECOS Enrollment IDI20260506002535
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.

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 Nelson's NPI number?

The NPI number for Kaitlin Nelson is 1457193427. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Where is Kaitlin Nelson located?

Kaitlin Nelson practices at 5101 NE 97th Street Rd, Anthony, FL 32617. The listed phone number is (650) 815-5692.

What is Kaitlin Nelson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kaitlin Nelson enrolled in Medicare?

Yes. Kaitlin Nelson 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 Kaitlin Nelson was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.