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KATELYN S FITZGERALD APRN, FNP-C
NPI 1750104600
Nurse Practitioner - Family in Hominy, OK

Active since November 07, 2024PECOS EnrolledAccepts Medicare Assignment
119 W MAIN ST, HOMINY, OK 74035(918) 885-4640(918) 885-4644 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2026, May 30, 2025, May 13, 2025 and 1 more (4 updates tracked since 2024).

About Katelyn S Fitzgerald Aprn, Fnp-c NPPES

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

KATELYN S FITZGERALD APRN, FNP-C (NPI 1750104600) is an individual family provider in Hominy, Oklahoma, licensed in Oklahoma (220880) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750104600
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATELYN S FITZGERALDCredential: APRN, FNP-C
Location Address119 W MAIN STHominy, OK 74035-1031
Mailing Address15900 W 61st St SSand Springs, OK 74063-3663 · (918) 688-2253
Phone(918) 885-4640
Fax(918) 885-4644
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 7, 2024
Last NPPES UpdateFebruary 25, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1750104600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 220880
119 W MAIN ST, Hominy, OK 74035
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12107 E 15th StTulsa, OK 74104-4613 · Phone (918) 712-0888
Location 2212 N Main StFairfax, OK 74637-3023 · Phone (918) 642-3100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.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

Katelyn S Fitzgerald Aprn, Fnp-c 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 ID4183180425
PECOS Enrollment IDI20260728002518
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.

Medicare Billing Reassignment

Medicare enrollment records show Katelyn Fitzgerald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairfax Medical Facilities Inc
20 mi
Federally Qualified Health Center (FQHC)
212 N MAIN ST
Fairfax, OK 74637
  • Reassigned Medicare billing, Oklahoma enrollment
  • 29 clinicians in this Medicare group
NPI 1538183173 (918) 642-3100

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 74035 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 9

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

KISHA MARIE FARRELL APRN FNP-BC
Nurse Practitioner (Family)
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
ANGELIA DAWN DIAB CNP, APRN
Nurse Practitioner (Family)
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
BRANDI NICOLE THOMPSON DDS
Dentist
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
CHARLES P CROWELL III DO
Family Medicine
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
FAIRFAX MEDICAL FACILITIES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
DONALD L SUTMILLER DO
General Practice
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
MRS. GLENDA D BOYLE MSW
Social Worker (Clinical)
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640
SANDRA KAY MACE LCSW
Social Worker (Clinical)
119 W MAIN ST
HOMINY, OK 74035
Osage County (918) 885-4640

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 Fitzgerald's NPI number?

The NPI number for Katelyn Fitzgerald is 1750104600. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Katelyn Fitzgerald located?

Katelyn Fitzgerald practices at 119 W Main St, Hominy, OK 74035. The listed phone number is (918) 885-4640.

What is Katelyn Fitzgerald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katelyn Fitzgerald enrolled in Medicare?

Yes. Katelyn Fitzgerald 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 Katelyn Fitzgerald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Fitzgerald reassigns Medicare benefits to Fairfax Medical Facilities Inc (Fairfax, OK). 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 Fitzgerald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Fitzgerald accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Katelyn Fitzgerald 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 Fitzgerald was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.