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KAITLYN JESSICA SHOTWELL PA-C
NPI 1508417809
Physician Assistant in Seymour Johnson Afb, NC

Active since September 27, 2019PECOS Enrolled
2803 MEDICAL CAMPUS DRIVE, SEYMOUR JOHNSON AFB, NC 27531(919) 722-1802(919) 722-4665 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2023, Mar 25, 2021, Sep 27, 2019 (3 updates tracked since 2019).

About Kaitlyn Jessica Shotwell Pa-c NPPES

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

KAITLYN JESSICA SHOTWELL PA-C (NPI 1508417809) is an individual physician assistant in Seymour Johnson Afb, North Carolina, licensed in North Carolina (0010-09512) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508417809
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLYN JESSICA SHOTWELLCredential: PA-C
Location Address2803 MEDICAL CAMPUS DRIVESeymour Johnson Afb, NC 27531
Mailing Address2803 Medical Campus DriveSeymour Johnson Afb, NC 27531 · (919) 722-1802 · Fax (919) 722-4665
Phone(919) 722-1802
Fax(919) 722-4665
Sole ProprietorNo
Enumeration DateSeptember 27, 2019
Last NPPES UpdateMay 15, 20233 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1508417809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-09512
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.
2803 MEDICAL CAMPUS DRIVE, Seymour Johnson Afb, NC 27531
Open in Google Maps ↗

Other Identifiers 1

Other0010-09512NC · Nc License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Jessica Shotwell 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27531 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

DR. JONATHAN EDWARD REPPEL D.O.
Family Medicine
2803 MEDICAL CAMPUS DRIVE
GOLDSBORO, NC 27531
Wayne County (919) 722-1802
MS. LYNNETTE DENISE GLADNEY LCSW
Social Worker (Clinical)
2803 MEDICAL CAMPUS DRIVE
GOLDSBORO, NC 27531
Wayne County (919) 722-1883
CHRISTINA DANG DMD
Dentist (General Practice)
2803 MEDICAL CAMPUS DRIVE
SJAFB, NC 27531
Wayne County (919) 722-1933
DR. RACHEL ELIZABETH COPELAND PHARMD
Pharmacist
2803 MEDICAL CAMPUS DRIVE
SEYMOUR JOHNSON AFB, NC 27531
Wayne County (919) 722-0723
ANTHONY SHAWN BANKES M.D.
Family Medicine
2803 MEDICAL CAMPUS DRIVE
SEYMOUR-JOHNSON AFB, NC 27531
Wayne County (919) 722-1580
MS. ETTA SERENA FAISON LCSW
Social Worker (Clinical)
2803 MEDICAL CAMPUS DRIVE
GOLDSBORO, NC 27531
Wayne County (910) 214-8243
LINDSEY MARCO PHD
Psychologist
2803 MEDICAL CAMPUS DRIVE
GOLDSBORO, NC 27531
Wayne County (919) 722-1883
DAVID AARON PARKS LCSW
Social Worker (Clinical)
2803 MEDICAL CAMPUS DRIVE
GOLDSBORO, NC 27531
Wayne County (919) 722-1883

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 Shotwell's NPI number?

The NPI number for Kaitlyn Shotwell is 1508417809. It was assigned to this individual provider in the NPPES registry on September 27, 2019.

Where is Kaitlyn Shotwell located?

Kaitlyn Shotwell practices at 2803 Medical Campus Drive, Seymour Johnson Afb, NC 27531. The listed phone number is (919) 722-1802.

What is Kaitlyn Shotwell's specialty?

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

Is Kaitlyn Shotwell enrolled in Medicare?

Yes. Kaitlyn Shotwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlyn Shotwell was last updated on May 15, 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.