Individual provider Active NPI

Katie Lyn Felicetta, APN-C

  • Family Nurse Practitioner
  • West Windsor, NJ
National Provider Identifier
1710506241
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01220600 Issued in NJ
Practice address
186 Princeton Hightstown Rd BLDG 3a
West Windsor, NJ 08550-1668
Phone
(609) 443-1150
NPI assigned
Apr 14, 2020
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01220600 NJ Primary

Addresses

Primary practice location

186 Princeton Hightstown Rd BLDG 3a
West Windsor, NJ 08550-1668

Mailing address

186 Princeton Hightstown Rd
West Windsor, NJ 08550-1668
Phone (609) 443-1150

Other names 1

  • Katie Lyn Liberi Former name

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
I20220317002782 NJ Practitioner - Nurse Practitioner 0244625820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

186 Princeton Hightstown Rd
BLDG 3a
West Windsor, NJ 08550-1668
Phone (609) 443-1150

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Oct 1, 2023 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Current Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Dec 16, 2021 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Oct 1, 2023 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Dec 16, 2021 Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

186 Princeton Hightstown Rd
Bldg 3A
West Windsor, NJ 08550
Phone (609) 443-1150

186 Princeton Hightstown Rd
Ste 3A-101
West Windsor, NJ 08550
Phone (609) 443-1150

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Organizations & group practices 5

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1710506241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 PRINCETON HIGHTSTOWN RD",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085501668",
            "telephone_number": "609-443-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 PRINCETON HIGHTSTOWN RD BLDG 3A",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085501668",
            "telephone_number": "609-443-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICETTA",
        "first_name": "KATIE",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01220600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "LIBERI",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Windsor, NJ

Sources for this page

Verify at the official NPI Registry.