Individual provider Active NPI

Kaitlyn Paige Wesolowski, PA-C

  • Physician Assistant
  • Woodstock, NY
National Provider Identifier
1437984135
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
03250301 Issued in NY
Practice address
404 Zena Rd Ste 1
Woodstock, NY 12498-2627
Phone
(845) 679-5271
NPI assigned
Sep 4, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 03250301 NY Primary

Addresses

Primary practice location

404 Zena Rd Ste 1
Woodstock, NY 12498-2627

Mailing address

33 Spring Creek Dr Apt 403
Pleasant Valley, NY 12569-5737
Phone (845) 532-0787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240927003175 NY Practitioner - Physician Assistant 0244761435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

334 Plaza Rd
Kingston, NY 12401-2975
Phone (845) 876-3003

404 Zena Rd
Woodstock, NY 12498-2626
Phone (845) 679-5271

45 Reade PL
Poughkeepsie, NY 12601-3947

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03250301NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Quest Medical Practice, PC CurrentSince Sep 23, 2024 Accepting new patients

Locations

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

404 Zena Rd
Ste 1
Woodstock, NY 12498
Phone (845) 679-5271

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 4

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": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1437984135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SPRING CREEK DR APT 403",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125695737",
            "telephone_number": "845-532-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 ZENA RD STE 1",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124982627",
            "telephone_number": "845-679-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESOLOWSKI",
        "first_name": "KAITLYN",
        "middle_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "03250301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, NY

Sources for this page

Verify at the official NPI Registry.