KAITLYN RAE WIRTZ PA-C
NPI 1649839846
Physician Assistant in Washburn, ND

Active since June 11, 2019PECOS EnrolledAccepts Medicare Assignment
79.63/100
CMS Quality Rating
1177 BORDER LN, WASHBURN, ND 58577(701) 462-3396(701) 463-3422 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaitlyn Rae Wirtz Pa-c NPPES

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

KAITLYN RAE WIRTZ PA-C (NPI 1649839846) is an individual physician assistant in Washburn, North Dakota and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and maintains a secondary practice location in Turtle Lake.

NPPES Registry Identity

NPI1649839846
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLYN RAE WIRTZCredential: PA-C
Location Address1177 BORDER LNWashburn, ND 58577-4102
Mailing AddressPo Box 280Turtle Lake, ND 58575-0280 · (701) 448-2331 · Fax (701) 448-2441
Fax(701) 463-3422
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 11, 2019
NPI 1649839846 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.
1177 BORDER LN, Washburn, ND 58577

Secondary Practice Location 1

Location 1220 5th Ave WTurtle Lake, ND 58575-4324 · Phone (701) 448-2334 · Fax (701) 448-2441

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 Rae Wirtz 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 ID7517295116
PECOS Enrollment IDI20190820004064
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.

Hospital Affiliations CMS Care Compare 3

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Chi St Alexius Health Turtle Lake

Critical Access Hospitals · Turtle Lake, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351304
Location220 5th Ave WTurtle Lake, ND 58575 · Mclean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58577 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.03
Promoting Interoperability78
Improvement Activities40
Cost74.42

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.

Physician Assistant
1177 BORDER LN
WASHBURN, ND 58577
Physical Therapist
1177 BORDER LN
WASHBURN, ND 58577
Physical Therapist
1177 BORDER LN
WASHBURN, ND 58577
Clinic/Center (Rural Health)
1177 BORDER LN
WASHBURN, ND 58577

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 Wirtz's NPI number?

The NPI number for Kaitlyn Wirtz is 1649839846. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Kaitlyn Wirtz located?

Kaitlyn Wirtz practices at 1177 Border Ln, Washburn, ND 58577. The listed phone number is (701) 462-3396.

What is Kaitlyn Wirtz's specialty?

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

Is Kaitlyn Wirtz enrolled in Medicare?

Yes. Kaitlyn Wirtz 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 Wirtz accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Kaitlyn Wirtz 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 Wirtz affiliated with any hospitals?

According to CMS data, Kaitlyn Wirtz is affiliated with Chi St Alexius Health, Sanford Medical Center Bismarck and Chi St Alexius Health Turtle Lake.

When was this NPI record last updated?

The NPPES record for Kaitlyn Wirtz was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.