Kristen Lynn Cautilli, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

25MP00311200 Issued in NJ

Practice address

710 Center St FL 2
Somers Point, NJ 08244-1802

Phone

(609) 365-6280

NPI assigned

Jul 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shore Specialty ConsultantsGroup PAC ID 1951613652, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shore Medical Center Hospital, Somers Point, NJ, CCN 310047

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristen.cautilli.1@4024.direct.athenahealth.com

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.

• Shore Specialty Consultants

  • Multi-Specialty Clinic/Center
  • Somers Point, NJ
  • NPI 1962808519
  Medicare reassignment Care Compare group
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Plainsboro, NJ
  • NPI 1518194323
  Medicare reassignment
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Lawrenceville, NJ
  • NPI 1073902524
  NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1770176372
  NPD
• Bayfront Urgent Care PA

  • Urgent Care Clinic/Center
  • Northfield, NJ
  • NPI 1609169796
  NPD (past)
• Dept. of Med, C/O Carl O'Brien Dba Princeton Hosp. Medical Assocs.

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1215957519
  NPD (past)
• Aria Health Physician Services

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053181297
  NPD (past)

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

• Shore Memorial Hospital

  • General Acute Care Hospital
  • Somers Point, NJ
  • NPI 1629070149
  Care Compare affiliation

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1326489477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E. NEW YORK AVE",
            "address_2": "4TH FLOOR ADMIN",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441520",
            "telephone_number": "609-653-3265",
            "fax_number": "609-926-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CENTER ST FL 2",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441802",
            "telephone_number": "609-365-6280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Floral Vale Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190675522",
            "country_code": "US",
            "telephone_number": "267-757-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUTILLI",
        "first_name": "KRISTEN",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2023-08-08",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA056182",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "OA003062",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00311200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Casella
• Emily Casey, LCSW
• Brenna J Cash, LPC, LCADC
• Castlerock, Inc
• Ashley N. Catapano, DPT
• Megan Rose Cavuto
• Steven Cetel, D.O
• Daniel Chenman
• Anthony Paul Chiccarine, DO
• Tara E Chidsey, FNP-BC

• Surgical Physician Assistant in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.