Kaitlyn Wyatt, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704292460 Issued in MI

Practice address

10090 E Lippincott Blvd
Davison, MI 48423-9151

Phone

(810) 653-1130

NPI assigned

Feb 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Flint Hospital, Flint, MI, CCN 230141
• McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McLaren Flint

  • General Practice Physician
  • Flint, MI
  • NPI 1275807372

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• McLaren Flint

  • Social Worker
  • Flint, MI
  • NPI 1356480685
  NPD
• McLaren Flint

  • Physician Assistant
  • Flint, MI
  • NPI 1700919628
  NPD
• McLaren Flint

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1154469229
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512
  Care Compare affiliation
• McLaren Lapeer Region

  dba McLaren HealthCare Corporation

  • General Acute Care Hospital
  • Lapeer, MI
  • NPI 1205824737
  Care Compare affiliation

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1164129045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 E LIPPINCOTT BLVD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239151",
            "telephone_number": "810-653-1130",
            "fax_number": "810-653-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 E LIPPINCOTT BLVD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239151",
            "telephone_number": "810-653-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "KAITLYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-03-06",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704292460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Women's Integrated Health Care, P.C.
• Womens OB/GYN and Bladder Solutions Center, P.C.
• Rhonda Woodring
• Sheila R Woodward, PMHNP
• Wrinkles of Wisdom Senior Mental Health Services
• Julie Yuchasz, RPH
• Zayd S Odeh PLLC

• Family Nurse Practitioner in Davison, MI
• Providers in Davison, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.

Verify at the official NPI Registry.