KATELYN ALINA PEMBROKE D.M.D.
NPI 1699157065
Dentist - General Practice in Palm City, FL

Q: What is Katelyn Pembroke's NPI number?

The NPI number for Katelyn Pembroke is 1699157065. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Q: What is Katelyn Pembroke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Pembroke was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 22, 2015PECOS Enrolled

2812 SW MAPP RD, PALM CITY, FL 34990(772) 283-8350 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katelyn Alina Pembroke D.m.d. NPPES

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

KATELYN ALINA PEMBROKE D.M.D. (NPI 1699157065) is an individual general practice provider in Palm City, Florida, licensed in Florida (21210) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699157065

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKATELYN ALINA PEMBROKECredential: D.M.D.

Location Address2812 SW MAPP RDPalm City, FL 34990-2722

Mailing Address815 Nw Flagler Ave Apt 301Stuart, FL 34994-1158 · (772) 215-2876

Phone(772) 283-8350

Sole ProprietorNo

Enumeration DateJune 22, 2015

✔ NPI 1699157065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · 21210

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2812 SW MAPP RD, Palm City, FL 34990

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Alina Pembroke D.m.d. 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 34990 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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 4

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

DR. THOMAS A. GALINIS D.M.D.

Dentist

2812 SW MAPP RD
PALM CITY, FL 34990

Martin County (772) 283-8350

DR. THOMAS L PLYMALE D.D.S.

Dentist (General Practice)

2812 SW MAPP RD
PALM CITY, FL 34990

Martin County (772) 283-8350

DR. SHANNON P GALINIS D.M.D.

Dentist

2812 SW MAPP RD
PALM CITY, FL 34990

Martin County (772) 220-8750

AESTHETIC DENTISTRY OF PALM CITY

Dentist

2812 SW MAPP RD
PALM CITY, FL 34990

Martin County (772) 283-8350

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 Katelyn Pembroke's NPI number?

The NPI number for Katelyn Pembroke is 1699157065. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Katelyn Pembroke located?

Katelyn Pembroke practices at 2812 SW Mapp Rd, Palm City, FL 34990. The listed phone number is (772) 283-8350.

What is Katelyn Pembroke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Katelyn Pembroke enrolled in Medicare?

Yes. Katelyn Pembroke is registered in the Medicare PECOS enrollment system.

What insurance does Katelyn Pembroke accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina and 3 other insurers list Katelyn Pembroke 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 Katelyn Pembroke was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.