Individual provider Active NPI

Katelyn Leigh Nerich

  • Physician Assistant
  • Stewart Manor, NY
National Provider Identifier
1295370971
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11 Chester Ave
Stewart Manor, NY 11530-5028
Phone
(516) 640-8840
NPI assigned
Nov 17, 2019
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

11 Chester Ave
Stewart Manor, NY 11530-5028

Mailing address

11 Chester Ave
Stewart Manor, NY 11530-5028
Phone (516) 640-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20260224004622 DC Practitioner - Physician Assistant 0941625222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3475 N Beauregard St
Suite 201
Alexandria, VA 22302-1356
Phone (703) 506-8590

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group LLC CurrentSince Feb 12, 2026 Accepting new patients

Locations

3475 N Beauregard St
Ste 201
Alexandria, VA 22302
Phone (703) 506-8590

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1295370971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHESTER AVE",
            "city": "STEWART MANOR",
            "state": "NY",
            "postal_code": "115305028",
            "telephone_number": "516-640-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CHESTER AVE",
            "city": "STEWART MANOR",
            "state": "NY",
            "postal_code": "115305028",
            "telephone_number": "516-640-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERICH",
        "first_name": "KATELYN",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stewart Manor, NY

Sources for this page

Verify at the official NPI Registry.