KATELYN SQUIRE PA
NPI 1992114680
Physician Assistant - Medical in Chandler, AZ

Q: What is Katelyn Squire's NPI number?

The NPI number for Katelyn Squire is 1992114680. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Q: What is Katelyn Squire'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 Katelyn Squire was last updated on July 17, 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.

Active since August 06, 2014PECOS Enrolled

965 W CHANDLER HEIGHTS RD, CHANDLER, AZ 85248(480) 460-4949(480) 460-5858 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Katelyn Squire Pa NPPES

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

KATELYN SQUIRE PA (NPI 1992114680) is an individual medical provider in Chandler, Arizona and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gilbert.

NPPES Registry Identity

NPI1992114680

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKATELYN SQUIRECredential: PA

Location Address965 W CHANDLER HEIGHTS RDChandler, AZ 85248-5724

Mailing Address6285 S Higley RdGilbert, AZ 85298-4262 · (480) 460-4949 · Fax (480) 460-5858

Phone(480) 460-4949

Fax(480) 460-5858

Sole ProprietorNo

Enumeration DateAugust 6, 2014

Last NPPES UpdateJuly 17, 2020

NPPES CertifiedJuly 17, 2020

✔ NPI 1992114680 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

965 W CHANDLER HEIGHTS RD, Chandler, AZ 85248

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Secondary Practice Location 1

Location 16285 S Higley RdGilbert, AZ 85298-4262 · Phone (480) 460-4949 · Fax (480) 460-5858

Other Identifiers 1

Medicaid946941AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Squire Pa 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.

Other Providers at the Same Location NPPES 8

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

DR. NATALIE A TENG M.D.

Pediatrics