KAITLIN WICKERSHAM-SHAFER NP
NPI 1831829233
Nurse Practitioner in Logansport, IN

Q: What is Kaitlin Wickersham-shafer's NPI number?

The NPI number for Kaitlin Wickersham-shafer is 1831829233. It was assigned to this individual provider in the NPPES registry on June 16, 2022. The provider is also known as Kaitlin Trivedi.

Q: What is Kaitlin Wickersham-shafer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 16, 2022PECOS EnrolledAccepts Medicare Assignment

1101 MICHIGAN AVE, LOGANSPORT, IN 46947(574) 753-7541 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 31, 2025, Sep 1, 2022 (2 updates tracked since 2022).

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About Kaitlin Wickersham-shafer Np NPPES

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

KAITLIN WICKERSHAM-SHAFER NP (NPI 1831829233) is an individual nurse practitioner in Logansport, Indiana, licensed in Indiana (71012651A) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2022).

NPPES Registry Identity

NPI1831829233

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKAITLIN WICKERSHAM-SHAFERCredential: NP

Location Address1101 MICHIGAN AVELogansport, IN 46947-1528

Mailing Address1101 Michigan AveLogansport, IN 46947-1528

Phone(574) 753-7541

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2022

Enumeration DateJune 16, 2022

Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1831829233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71012651A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1101 MICHIGAN AVE, Logansport, IN 46947

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Other Names 1

Former Name (1)Kaitlin Trivedi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Wickersham-shafer Np 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 ID7012390966

PECOS Enrollment IDI20220810002336

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

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

Memorial Hospital

Acute Care Hospitals · Logansport, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150072

Location1101 Michigan AveLogansport, IN 46947 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46947 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

WABASH EM I MEDICAL SERVICES PC

Physician Assistant