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MS. KAITLIN ANNE TERGESEN PA-C
NPI 1881117141
Physician Assistant - Surgical in New York, NY

Active since July 19, 2017PECOS Enrolled
3959 BROADWAY # CHN216, NEW YORK, NY 10032(212) 305-8402 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2020, Jul 19, 2017 (2 updates tracked since 2017).

About Ms. Kaitlin Anne Tergesen Pa-c NPPES

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

MS. KAITLIN ANNE TERGESEN PA-C (NPI 1881117141) is an individual surgical provider in New York, New York and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881117141
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. KAITLIN ANNE TERGESENCredential: PA-C
Location Address3959 BROADWAY # CHN216New York, NY 10032-1559
Mailing Address3959 Broadway, Chn 216New York, NY 10032
Phone(212) 305-8402
Sole ProprietorNo
Enumeration DateJuly 19, 2017
Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration
NPPES CertifiedMarch 9, 2020
✔ NPI 1881117141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
3959 BROADWAY # CHN216, New York, NY 10032
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Other Identifiers 1

Medicaid04859358NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kaitlin Anne Tergesen Pa-c 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.

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 Kaitlin Tergesen's NPI number?

The NPI number for Kaitlin Tergesen is 1881117141. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Kaitlin Tergesen located?

Kaitlin Tergesen practices at 3959 Broadway # Chn216, New York, NY 10032. The listed phone number is (212) 305-8402.

What is Kaitlin Tergesen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kaitlin Tergesen enrolled in Medicare?

Yes. Kaitlin Tergesen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlin Tergesen was last updated on March 9, 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.