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: August 16, 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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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.