DR. KAITLIN PELLICANO MD
NPI 1700414091
Emergency Medicine - Hospice and Palliative Medicine in Elkhorn, WI

Q: 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.

Q: 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.

Q: 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 18 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.

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment

W3985 COUNTY ROAD NN, ELKHORN, WI 53121(262) 741-2121 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2025, Jul 28, 2022, Mar 31, 2020 (3 updates tracked since 2020).

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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 Ocean Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1700414091

Entity TypeIndividualFemale

Primary Taxonomy207PH0002X

Provider Legal NameDR. KAITLIN PELLICANOCredential: MD

Location AddressW3985 COUNTY ROAD NNElkhorn, WI 53121-4337

Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680

Phone(262) 741-2121

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 31, 2020

Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2025

✔ NPI 1700414091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PH0002X

License✔ Licensed in NJ · 25MA12412700

Definition

An emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 76460-20 (WI)

W3985 COUNTY ROAD NN, Elkhorn, WI 53121

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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

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.

PECOS PAC ID1658754460

PECOS Enrollment IDI20250219000242

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 2

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

Ocean Medical Center

Acute Care Hospitals · Brick, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number310052

Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County

Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310073

Location1945 State Route 33Neptune, NJ 07753 · Monmouth County

Emergency services Birthing friendly

Physician 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.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

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. MARC ELLIOTT GOSNELL MD

Student in an Organized Health Care Education/Training Program