Active NPI
Kaitlin Christine Webb, PA-C
- Physician Assistant
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10003382A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10003382A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Core Therapy LLC | Past | 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
- 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.
-
- Family Medicine Physician
- Hanover, IN
- NPI 1649770769
-
- Urgent Care Clinic/Center
- Mishawaka, IN
- NPI 1942546890
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- Physical Therapist
- Crown Point, IN
- NPI 1124667449
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.