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KAITLYN WILSON NP
NPI 1942174453
Nurse Practitioner - Family in Kalamazoo, MI

Active since September 30, 2025PECOS EnrolledAccepts Medicare Assignment
2520 ROBERT JONES WAY FL 2, KALAMAZOO, MI 49009(269) 372-7466(269) 492-0660 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kaitlyn Wilson Np NPPES

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

KAITLYN WILSON NP (NPI 1942174453) is an individual family provider in Kalamazoo, Michigan, licensed in Michigan (4704333304) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Borgess Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1942174453
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLYN WILSONCredential: NP
Location Address2520 ROBERT JONES WAY FL 2Kalamazoo, MI 49009-1904
Mailing Address6223 Shawnee CirScotts, MI 49088-9766 · (517) 581-3602
Phone(269) 372-7466
Fax(269) 492-0660
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 30, 2025
Last NPPES UpdateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1942174453 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 MI · 4704333304
2520 ROBERT JONES WAY FL 2, Kalamazoo, MI 49009
Open in Google Maps ↗

Other Identifiers 1

Medicaid1942174453MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Kaitlyn Wilson 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 ID5395218267
PECOS Enrollment IDI20260623000343
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 Kaitlyn Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beacon Medical Group Michigan Inc
4.2 mi
Internal Medicine
7775 ANGLING RD
Portage, MI 49024
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Ascension Medical Group Promed
  • 465 clinicians in this Medicare group
NPI 1538299631 (269) 324-8670

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49009 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Kaitlyn Wilson's NPI number?

The NPI number for Kaitlyn Wilson is 1942174453. It was assigned to this individual provider in the NPPES registry on September 30, 2025.

Where is Kaitlyn Wilson located?

Kaitlyn Wilson practices at 2520 Robert Jones Way Fl 2, Kalamazoo, MI 49009. The listed phone number is (269) 372-7466.

What is Kaitlyn Wilson's specialty?

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

Is Kaitlyn Wilson enrolled in Medicare?

Yes. Kaitlyn Wilson 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 Kaitlyn Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Wilson reassigns Medicare benefits to Beacon Medical Group Michigan Inc (Portage, MI). 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 Kaitlyn Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlyn Wilson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kaitlyn Wilson 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.

Is Kaitlyn Wilson affiliated with any hospitals?

According to CMS data, Kaitlyn Wilson is affiliated with Borgess Medical Center.

When was this NPI record last updated?

The NPPES record for Kaitlyn Wilson was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.