KATE STACEY VITAL
NPI 1467132555
Registered Nurse - Psychiatric/Mental Health in Somerville, MA

Active since July 24, 2023PECOS Enrolled
212 HIGHLAND AVE, SOMERVILLE, MA 02143(617) 852-3796 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kate Stacey Vital NPPES

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

KATE STACEY VITAL (NPI 1467132555) is an individual psychiatric/mental health provider in Somerville, Massachusetts, licensed in Massachusetts (RN2339969) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1467132555
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameKATE STACEY VITAL
Location Address212 HIGHLAND AVESomerville, MA 02143-1422
Mailing Address212 Highland AveSomerville, MA 02143-1422 · (617) 852-3796
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 23, 2023
✔ NPI 1467132555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in MA · RN2339969
212 HIGHLAND AVE, Somerville, MA 02143

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kate Stacey Vital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153804125
PECOS Enrollment IDI20260309002864
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.

Medicare Billing Reassignment

Medicare enrollment records show Kate Vital reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
100 TRADECENTER STE G700
Woburn, MA 01801
  • Reassigned Medicare billing, Massachusetts enrollment
  • 10 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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
212 HIGHLAND AVE
SOMERVILLE, MA 02143

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 Kate Vital's NPI number?

The NPI number for Kate Vital is 1467132555. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Kate Vital located?

Kate Vital practices at 212 Highland Ave, Somerville, MA 02143. The listed phone number is (617) 852-3796.

What is Kate Vital's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Kate Vital enrolled in Medicare?

Yes. Kate Vital is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kate Vital's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kate Vital reassigns Medicare benefits to Holistic Behavioral Health Multi Services PLLC (Woburn, MA). The 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 Kate Vital's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kate Vital accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kate Vital 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.

When was this NPI record last updated?

The NPPES record for Kate Vital was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.