KAITLIN MARIE FAHEY PHILLIPS
NPI 1982258414
Physician Assistant - Medical in Whitney, TX

Q: What is Kaitlin Phillips's NPI number?

The NPI number for Kaitlin Phillips is 1982258414. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Q: What is Kaitlin Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Phillips was last updated on September 8, 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.

Active since August 01, 2019PECOS EnrolledAccepts Medicare Assignment

202 E JEFFERSON AVE, WHITNEY, TX 76692(254) 694-2221(254) 694-9978 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2021, Mar 6, 2021, Nov 5, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Kaitlin Marie Fahey Phillips NPPES

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

KAITLIN MARIE FAHEY PHILLIPS (NPI 1982258414) is an individual medical provider in Whitney, Texas, licensed in Texas (PA12695) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1982258414

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKAITLIN MARIE FAHEY PHILLIPS

Location Address202 E JEFFERSON AVEWhitney, TX 76692-2398

Mailing Address202 E Jefferson AveWhitney, TX 76692-2398 · (254) 694-2221 · Fax (254) 694-9978

Phone(254) 694-2221

Fax(254) 694-9978

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 1, 2019

Last NPPES UpdateSeptember 8, 20214 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2021

✔ NPI 1982258414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA12695

202 E JEFFERSON AVE, Whitney, TX 76692

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1201 Posey AveClifton, TX 76634-1200 · Phone (254) 675-8621 · Fax (254) 675-2254

Location 29166 N Congress StNew Market, VA 22844-9422 · Phone (540) 459-1340

Location 3759 S Main StWoodstock, VA 22664-1154 · Phone (540) 459-1383

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 Marie Fahey Phillips 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 ID3173852761

PECOS Enrollment IDI20201118000779

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 3

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490033

Location351 Valley Health WayFront Royal, VA 22630 · Warren County

Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491305

Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$108.53 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$38.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKE WHITNEY PHYSICIANS CLINIC LLC

Family Medicine