KAITLIN NICOLE SIDDONS I
NPI 1790658961
Physician Assistant in Willow Grove, PA

Q: What is Kaitlin Siddons's NPI number?

The NPI number for Kaitlin Siddons is 1790658961. It was assigned to this individual provider in the NPPES registry on September 24, 2025.

Q: What is Kaitlin Siddons's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Siddons was last updated on December 9, 2025. 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.

Active since September 24, 2025PECOS Enrolled

2360 MARYLAND RD, WILLOW GROVE, PA 19090(215) 657-6776 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kaitlin Nicole Siddons I NPPES

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

KAITLIN NICOLE SIDDONS I (NPI 1790658961) is an individual physician assistant in Willow Grove, Pennsylvania, licensed in Pennsylvania (MA067270) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2025).

NPPES Registry Identity

NPI1790658961

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKAITLIN NICOLE SIDDONS I

Location Address2360 MARYLAND RDWillow Grove, PA 19090-1709

Mailing Address2360 Maryland RdWillow Grove, PA 19090-1709 · (215) 657-6776

Phone(215) 657-6776

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2025

Enumeration DateSeptember 24, 2025

Last NPPES UpdateDecember 9, 2025

NPPES CertifiedDecember 9, 2025

✔ NPI 1790658961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · MA067270

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2360 MARYLAND RD, Willow Grove, PA 19090

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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 (PECOS)

Kaitlin Nicole Siddons I is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113412420

PECOS Enrollment IDI20251223002856

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 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390153

Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390203

Location595 West State StDoylestown, PA 18901 · Bucks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19090 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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.

CHARLES H PRITCHARD M.D.

Internal Medicine (Rheumatology)