Active NPI
Katelyn D Beemon, APNP
- Nurse Practitioner
- Fitchburg, WI
National Provider Identifier
1033627336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 8642-33
- Practice address
- 3051 Cahill Main
Fitchburg, WI 53711-7109 - Phone
- (608) 661-7200
- NPI assigned
- Jan 21, 2018
- Last updated
- Apr 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 8642-33 | WI | Primary |
Addresses
Primary practice location
3051 Cahill Main
Fitchburg, WI 53711-7109
Mailing address
3051 Cahill Main
Fitchburg, WI 53711-7109
Other practice location 1
2825 Hunters Trl
Portage, WI 53901-3429
Phone (608) 742-7161
Other names 1
- Katelyn M Dibenedetto
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Lahey Health Primary Care, Inc. | Current | Accepting new patients | |
| Winchester Physician Associates, Inc | Current | Accepting new patients | |
| Beth Israel Lahey Health Primary Care Inc | Current | Accepting new patients | |
| Winchester Physician Associates Inc | Past | Accepting new patients | |
| Winchester Physician Associates | Past | Accepting new patients | |
| Beth Israel Lahey Health Primary Care, Inc. | Past | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
203 Main St
North Reading, MA 01864
Phone (978) 664-1990
15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381
1021 Main St
Ste 1
Winchester, MA 01890
Phone (781) 729-1021
Interoperability endpoints
- https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
- https://fhir.laheyhealth.org/proxy-prd-fhir/api/FHIR/R4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lahey Health Urgent Care, Middleboro
- Clinic/Center
- Middleboro, MA
- NPI 1568292423
-
- Internal Medicine Physician
- Winchester, MA
- NPI 1184606865
-
- Urology Physician
- Burlington, MA
- NPI 1043710791
-
- Internal Medicine Physician
- Beverly, MA
- NPI 1508244195
-
dba North Reading Medical Associates
- Internal Medicine Physician
- North Reading, MA
- NPI 1215919931
-
- Internal Medicine Physician
- Winchester, MA
- NPI 1124554357
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1033627336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 CAHILL MAIN",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537117109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3051 CAHILL MAIN",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537117109",
"telephone_number": "608-661-7200"
}
],
"practiceLocations": [
{
"address_1": "2825 Hunters Trl",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "WI",
"postal_code": "539013429",
"country_code": "US",
"telephone_number": "608-742-7161",
"fax_number": "608-745-3990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEEMON",
"first_name": "KATELYN",
"middle_name": "D",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-21",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "8642-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATELYN",
"last_name": "DIBENEDETTO",
"middle_name": "M",
"credential": "APNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.