Active NPI
Katie M Lewellin, APNP
- Nurse Practitioner
- Madison, WI
National Provider Identifier
1154687143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4816-33
- Practice address
- 7102 Mineral Point Rd
Madison, WI 53717-1706 - Phone
- (608) 828-7611
- NPI assigned
- Apr 4, 2012
- 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 | 4816-33 | WI | Primary |
Addresses
Primary practice location
7102 Mineral Point Rd
Madison, WI 53717-1706
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154687143 | Medicaid | WI |
Other names 1
- Katie M Pelgrin
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1154687143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7102 MINERAL POINT RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537171706",
"telephone_number": "608-828-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWELLIN",
"first_name": "KATIE",
"middle_name": "M",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "4816-33",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154687143",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "PELGRIN",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.