KATELYN KIRCHHEIMER NP
NPI 1811444557
Nurse Practitioner - Family in New York, NY

Active since September 09, 2016PECOS Enrolled
30 BROAD ST FL 45, NEW YORK, NY 10004(415) 658-6791 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 28, 2021, Mar 3, 2020, Oct 17, 2017 (3 updates tracked since 2017).

About Katelyn Kirchheimer Np NPPES

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

KATELYN KIRCHHEIMER NP (NPI 1811444557) is an individual family provider in New York, New York, licensed in New York (345434) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vestal.

NPPES Registry Identity

NPI1811444557
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATELYN KIRCHHEIMERCredential: NP
Location Address30 BROAD ST FL 45New York, NY 10004-2942
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Sole ProprietorNo
Enumeration DateSeptember 9, 2016
Last NPPES UpdateDecember 28, 20213 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
✔ NPI 1811444557 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
Licenses✔ Licensed in NY · 345434✔ Licensed in OR · 201606344NP-PP
30 BROAD ST FL 45, New York, NY 10004

Secondary Practice Location 1

Location 14417 Vestal Pkwy EVestal, NY 13850-3556 · Phone (607) 770-7365 · Fax (607) 729-5882

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Kirchheimer Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kirchheimer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 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 10004 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Physician Assistant
30 BROAD ST FL 45
NEW YORK, NY 10004
Physician Assistant (Medical)
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
Physician Assistant
30 BROAD ST FL 45
NEW YORK, NY 10004
Physician Assistant (Medical)
30 BROAD ST FL 45
NEW YORK, NY 10004

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 Kirchheimer's NPI number?

The NPI number for Katelyn Kirchheimer is 1811444557. It was assigned to this individual provider in the NPPES registry on September 9, 2016.

Where is Katelyn Kirchheimer located?

Katelyn Kirchheimer practices at 30 Broad St Fl 45, New York, NY 10004. The listed phone number is (415) 658-6791.

What is Katelyn Kirchheimer's specialty?

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

Is Katelyn Kirchheimer enrolled in Medicare?

Yes. Katelyn Kirchheimer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katelyn Kirchheimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Kirchheimer reassigns Medicare benefits to United Health Services Hospitals, Inc. (Johnson City, NY). 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 Kirchheimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katelyn Kirchheimer was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.