DR. KAITLIN PELLICANO MD
NPI 1700414091
Emergency Medicine - Hospice and Palliative Medicine in Elkhorn, WI
About Dr. Kaitlin Pellicano Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAITLIN PELLICANO MD (NPI 1700414091) is an individual hospice and palliative medicine provider in Elkhorn, Wisconsin, licensed in New Jersey (25MA12412700) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and maintains a secondary practice location in Neptune.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kaitlin Pellicano Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Kaitlin Pellicano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ELKHORN, WI 53121
ELKHORN, WI 53121
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 Kaitlin Pellicano's NPI number?
The NPI number for Kaitlin Pellicano is 1700414091. It was assigned to this individual provider in the NPPES registry on March 31, 2020.
Where is Kaitlin Pellicano located?
Kaitlin Pellicano practices at W3985 County Road Nn, Elkhorn, WI 53121. The listed phone number is (262) 741-2121.
What is Kaitlin Pellicano's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207PH0002X.
Is Kaitlin Pellicano enrolled in Medicare?
Yes. Kaitlin Pellicano 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.
Which organization bills Medicare for Kaitlin Pellicano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Pellicano reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 Kaitlin Pellicano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaitlin Pellicano accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Kaitlin Pellicano 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 Kaitlin Pellicano affiliated with any hospitals?
According to CMS data, Kaitlin Pellicano is affiliated with Jersey Shore University Medical Center.
When was this NPI record last updated?
The NPPES record for Kaitlin Pellicano was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Dr. Kaitlin Pellicano, MD · NPI 1700414091
Hospice and Palliative Medicine physician in Elkhorn, Wisconsin. Individual provider, active in the CMS NPPES registry since March 31, 2020.
## Identity
- **NPI:** 1700414091 (Entity type: Individual)
- **Enumerated:** March 31, 2020
- **Primary specialty:** Emergency Medicine - Hospice and Palliative Medicine · taxonomy 207PH0002X
- **State license:** 25MA12412700 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** W3985 COUNTY ROAD NN, Elkhorn, WI 53121-4337
- **Phone:** (262) 741-2121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700414091) · Data from the CMS NPPES public registry.