Individual provider Active NPI

Katelin Petrin, CPNP

  • Pediatric Nurse Practitioner
  • Wauwatosa, WI
National Provider Identifier
1013388016
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
16840-33 Issued in WI
Practice address
800 N Mayfair Rd Ste 200
Wauwatosa, WI 53226-6300
Phone
(414) 262-8835
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 16840-33 WI Primary

Addresses

Primary practice location

800 N Mayfair Rd Ste 200
Wauwatosa, WI 53226-6300

Mailing address

800 N Mayfair Rd Ste 200
Wauwatosa, WI 53226-6300
Phone (414) 262-8835

Other practice location 1

3434 12th Ave NE
Olympia, WA 98506
Phone (360) 413-8470

Other names 1

  • Katelin Larson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katelin.petrin.1@33161.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16840-33WIMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: klarson99189@direct.seattlechildrens.org
  • Direct secure messaging: katelin.petrin.1@33161.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1013388016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N MAYFAIR RD STE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532266300",
            "telephone_number": "414-262-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MAYFAIR RD STE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532266300",
            "telephone_number": "414-262-8835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 12th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "98506",
            "country_code": "US",
            "telephone_number": "360-413-8470",
            "fax_number": "360-413-8490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRIN",
        "first_name": "KATELIN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "16840-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katelin.petrin.1@33161.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Messaging Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Athena Direct Messaging Email Address",
            "address_1": "800 N Mayfair Rd Ste 200",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532266300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATELIN",
            "last_name": "LARSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.