Individual provider Active NPI

Kaitlin Christine Webb, PA-C

  • Physician Assistant
  • Crown Point, IN
National Provider Identifier
1861855090
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003382A Issued in IN
Practice address
11055 Broadway
Crown Point, IN 46307-9177
Phone
(219) 797-7463
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physician Assistant 363A00000X 10003382A IN Primary

Addresses

Primary practice location

11055 Broadway
Crown Point, IN 46307-9177

Mailing address

106 E Thompson St
Rensselaer, IN 47978-3132
Phone (317) 701-8812

Other practice location 1

1115 E Main St
Attica, IN 47918-1945
Phone (765) 764-0085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20211129001253 IN Practitioner - Physician Assistant 8527458934 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

102 Sagamore Pkwy S
Lafayette, IN 47905-4745
Phone (765) 237-3224

3536 Promenade Pkwy
Lafayette, IN 47909-8377
Phone (765) 231-2956

4152 W State Rd
Suite 56
Hanover, IN 47243-9070
Phone (901) 351-1791

811 W Main St
Peru, IN 46970-1742
Phone (765) 470-4076

924 W Pike St
Physicians Urgent Care
Goshen, IN 46526-2365
Phone (574) 312-7056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10003382AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Core Therapy LLC PastSince Jan 5, 2020 Accepting new patients

Locations

1115 E Main St
Attica, IN 47918
Phone (765) 764-0085

1159 W Jefferson St
Ste 204
Franklin, IN 46131

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

Interoperability endpoints

  • Direct secure messaging: kaitlin.webb.nwispineinstitute@nwisi.direct.systemedx.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1861855090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E THOMPSON ST",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479783132",
            "telephone_number": "317-701-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079177",
            "telephone_number": "219-797-7463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 E Main St",
            "address_purpose": "LOCATION",
            "city": "Attica",
            "state": "IN",
            "postal_code": "479181945",
            "country_code": "US",
            "telephone_number": "765-764-0085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KAITLIN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003382A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.