Kathryn M Michelotti, DNP APRN FNP-BC CCRN - Medicare Nurse Practitioner in Maplewood, NJ

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Kathryn M Michelotti, DNP APRN FNP-BC CCRN is a medicare enrolled "Nurse Practitioner" in Maplewood, New Jersey. Her current practice location is 264 Boyden Ave, Maplewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 761-5200.

Kathryn M Michelotti is licensed to practice in New Jersey (license number 26NJ00944100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295380228.

Contact Information

Kathryn M Michelotti, DNP APRN FNP-BC CCRN
264 Boyden Ave,
Maplewood, NJ 07040-3070
(973) 761-5200
Not Available

Map and Direction




Provider's Profile

Full NameKathryn M Michelotti
GenderFemale
SpecialityNurse Practitioner
Location264 Boyden Ave, Maplewood, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295380228
  • Provider Enumeration Date: 08/06/2019
  • Last Update Date: 04/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052744265
  • Enrollment ID: I20191202001849

Medical Identifiers

Medical identifiers for Kathryn M Michelotti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295380228NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ00944100 (New Jersey)Secondary
363L00000XNurse Practitioner 26NJ00944100 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathryn M Michelotti allows following entities to bill medicare on her behalf.
Entity NameOptum Medical Care Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578665048
PECOS PAC ID: 3072650290
Enrollment ID: O20091021000129
Entity NameDispatch Health Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447716873
PECOS PAC ID: 9436490562
Enrollment ID: O20190417002629

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn M Michelotti is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathryn M Michelotti, DNP APRN FNP-BC CCRN
67 Fairfield Rd,
Clifton, NJ 07013-3945

Ph: (973) 769-1675		Kathryn M Michelotti, DNP APRN FNP-BC CCRN
264 Boyden Ave,
Maplewood, NJ 07040-3070

Ph: (973) 761-5200

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.