KAITLYN ANNE MACULLOCH CRNP
NPI 1952907917
Nurse Practitioner in Wilkes Barre, PA

Active since December 07, 2020PECOS EnrolledAccepts Medicare Assignment
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711(570) 808-4772(570) 808-6174 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2022, Dec 7, 2020 (2 updates tracked since 2020).

About Kaitlyn Anne Maculloch Crnp NPPES

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

KAITLYN ANNE MACULLOCH CRNP (NPI 1952907917) is an individual nurse practitioner in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (SP023619) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Wayne Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952907917
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAITLYN ANNE MACULLOCHCredential: CRNP
Location Address1000 E MOUNTAIN DRWilkes Barre, PA 18711-0027
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Fax(570) 808-6174
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 7, 2020
Last NPPES UpdateAugust 26, 20222 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
NPI 1952907917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP023619
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.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License SP023619 (PA)
1000 E MOUNTAIN DR, Wilkes Barre, PA 18711

Other Names 1

Former Name (1)Kaitlyn Anne Swartzlander

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

Kaitlyn Anne Maculloch Crnp 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 ID8325447386
PECOS Enrollment IDI20210524001442
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
362 services228 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
83 services80 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
21 services18 patients

Hospital Affiliations CMS Care Compare

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

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390125
Location601 Park StreetHonesdale, PA 18431 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Internal Medicine (Pulmonary Disease)
1000 E MOUNTAIN DR, PULMONARY DEPARTMENT
WILKES BARRE, PA 18711
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Emergency Medicine
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Radiology (Vascular & Interventional Radiology)
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Urology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711

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 Maculloch's NPI number?

The NPI number for Kaitlyn Maculloch is 1952907917. It was assigned to this individual provider in the NPPES registry on December 7, 2020. The provider is also known as Kaitlyn Anne Swartzlander.

Where is Kaitlyn Maculloch located?

Kaitlyn Maculloch practices at 1000 E Mountain Dr, Wilkes Barre, PA 18711. The listed phone number is (570) 808-4772.

What is Kaitlyn Maculloch's specialty?

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

Is Kaitlyn Maculloch enrolled in Medicare?

Yes. Kaitlyn Maculloch 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.

Is Kaitlyn Maculloch affiliated with any hospitals?

According to CMS data, Kaitlyn Maculloch is affiliated with Wayne Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kaitlyn Maculloch was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.