Individual provider Active NPI

Kaitlin Lynch, APN

  • Nurse Practitioner
  • Pennington, NJ
National Provider Identifier
1376066571
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00743300 Issued in NJ
Practice address
2 Capital Way Ste 220
Pennington, NJ 08534-2523
Phone
(609) 303-0747
NPI assigned
Jul 19, 2017
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00743300 NJ Primary

Addresses

Primary practice location

2 Capital Way Ste 220
Pennington, NJ 08534-2523

Mailing address

2 Capital Way Ste 220
Pennington, NJ 08534-2523
Phone (609) 303-0747

Other practice location 1

175 Bergen Blvd
Fairview, NJ 07022-1619
Phone (201) 943-2900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaitlin.lynch.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171027000043 NJ Practitioner - Nurse Practitioner 3779859202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

2 Capital Way
Suite 220
Pennington, NJ 08534-2523
Phone (609) 303-0747

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00743300NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group CurrentSince Apr 21, 2025 Accepting new patients
Mercer Bucks Hematology/Oncology PC CurrentSince Mar 11, 2025 Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

2 Capital Way
Ste 220
Pennington, NJ 08534
Phone (609) 303-0747

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

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 2

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1376066571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY STE 220",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342523",
            "telephone_number": "609-303-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY STE 220",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342523",
            "telephone_number": "609-303-0747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Bergen Blvd",
            "address_purpose": "LOCATION",
            "city": "Fairview",
            "state": "NJ",
            "postal_code": "070221619",
            "country_code": "US",
            "telephone_number": "201-943-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KAITLIN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00743300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaitlin.lynch.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Capital Way Ste 220",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085342523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.