KATELYN ROSE MCNULTY PMHNP
NPI 1720694706
Nurse Practitioner - Psychiatric/Mental Health in New York, NY
About Katelyn Rose Mcnulty Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN ROSE MCNULTY PMHNP (NPI 1720694706) is an individual psychiatric/mental health provider in New York, New York, licensed in Kentucky (58001) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katelyn Rose Mcnulty Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katelyn Mcnulty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, IN 47102
- Reassigned Medicare billing, Indiana enrollment
- 63 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10013 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10013
NEW YORK, NY 10013
NEW YORK, NY 10013
NEW YORK, NY 10013
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 Mcnulty's NPI number?
The NPI number for Katelyn Mcnulty is 1720694706. It was assigned to this individual provider in the NPPES registry on September 16, 2020.
Where is Katelyn Mcnulty located?
Katelyn Mcnulty practices at 110 Lafayette St, New York, NY 10013. The listed phone number is (212) 369-6757.
What is Katelyn Mcnulty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Katelyn Mcnulty enrolled in Medicare?
Yes. Katelyn Mcnulty is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katelyn Mcnulty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Mcnulty reassigns Medicare benefits to Lifespring, Inc (Austin, IN). 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 Katelyn Mcnulty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katelyn Mcnulty accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Katelyn Mcnulty 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 Mcnulty was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Katelyn Rose Mcnulty, PMHNP · NPI 1720694706
Psychiatric/Mental Health physician in New York, New York. Individual provider, active in the CMS NPPES registry since September 16, 2020.
## Identity
- **NPI:** 1720694706 (Entity type: Individual)
- **Enumerated:** September 16, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 58001 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 LAFAYETTE ST, New York, NY 10013-4116
- **Phone:** (212) 369-6757
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lifespring, Inc (NPI 1811512239, Austin, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1720694706) · Data from the CMS NPPES public registry.