KAITLIN DEWILDE
NPI 1720664139
Student in an Organized Health Care Education/Training Program in San Francisco, CA
About Kaitlin Dewilde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLIN DEWILDE (NPI 1720664139) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Kaitlin Dewilde 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.
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.
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
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 Dewilde's NPI number?
The NPI number for Kaitlin Dewilde is 1720664139. It was assigned to this individual provider in the NPPES registry on March 24, 2021.
Where is Kaitlin Dewilde located?
Kaitlin Dewilde practices at 505 Parnassus Ave Rm M24, San Francisco, CA 94143. The listed phone number is (415) 353-1529.
What is Kaitlin Dewilde's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kaitlin Dewilde enrolled in Medicare?
Yes. Kaitlin Dewilde 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.
When was this NPI record last updated?
The NPPES record for Kaitlin Dewilde was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kaitlin Dewilde · NPI 1720664139
Student in an Organized Health Care Education/Training Program provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since March 24, 2021.
## Identity
- **NPI:** 1720664139 (Entity type: Individual)
- **Enumerated:** March 24, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 505 PARNASSUS AVE RM M24, San Francisco, CA 94143-2204
- **Phone:** (415) 353-1529
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Albert Einstein College Of Medicine Of Yeshiva University, class of 2021
## Record status
- **NPPES last updated:** April 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720664139) · Data from the CMS NPPES public registry.