Individual provider Active NPI

Katelyn Claire Capodanno, APN

  • Family Nurse Practitioner
  • Raritan, NJ
National Provider Identifier
1609623610
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15099300 Issued in NJ
Practice address
575 Route 28 Ste 3201
Raritan, NJ 08869-1363
Phone
(908) 947-2712
Fax
(908) 927-9832
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR17744100 NJ
Family Nurse Practitioner 363LF0000X 26NJ15099300 NJ Primary

Addresses

Primary practice location

575 Route 28 Ste 3201
Raritan, NJ 08869-1363

Mailing address

465 South St Ste 103
Morristown, NJ 07960-6442
Phone (908) 947-2712

Other practice location 1

142 Central Ave
Westfield, NJ 07090-2108
Phone (973) 829-4632

Other practice location 2

1973 Washington Valley Rd
Martinsville, NJ 08836-2053
Phone (732) 560-9225

Other practice location 3

3322 Route 22 Ste 1204
Branchburg, NJ 08876-4407
Phone (908) 378-7227

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
I20250307002119 NJ Practitioner - Nurse Practitioner 6002337904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

575 Route 28
Suite 3107
Raritan, NJ 08869-1354
Phone (908) 947-2720

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR17744100NJMDRegistered Nurse
26NJ15099300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Feb 10, 2025 Accepting new patients

Locations

3322 Route 22
Ste 1204
Branchburg, NJ 08876
Phone (908) 378-7227

1973 Washington Valley Rd
Martinsville, NJ 08836
Phone (732) 560-9225

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

575 Route 28
Ste 3201
Raritan, NJ 08869
Phone (908) 947-2712

142 Central Ave
Westfield, NJ 07090
Phone (973) 829-4632

Interoperability endpoints

  • Direct secure messaging: kcapodanno69658@direct.ahsys.org

Organizations & group practices 1

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.

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1609623610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SOUTH ST STE 103",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606442",
            "telephone_number": "908-947-2712",
            "fax_number": "908-927-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ROUTE 28 STE 3201",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691363",
            "telephone_number": "908-947-2712",
            "fax_number": "908-927-9832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "070902108",
            "country_code": "US",
            "telephone_number": "973-829-4632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1973 Washington Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "NJ",
            "postal_code": "088362053",
            "country_code": "US",
            "telephone_number": "732-560-9225",
            "fax_number": "732-560-8095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3322 Route 22 Ste 1204",
            "address_purpose": "LOCATION",
            "city": "Branchburg",
            "state": "NJ",
            "postal_code": "088764407",
            "country_code": "US",
            "telephone_number": "908-378-7227",
            "fax_number": "908-252-0127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPODANNO",
        "first_name": "KATELYN",
        "middle_name": "CLAIRE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR17744100",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15099300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raritan, NJ

Sources for this page

Verify at the official NPI Registry.