Individual provider Active NPI

Katlyn Jordan Tersten, FNP-BC

  • Family Nurse Practitioner
  • Utica, NY
National Provider Identifier
1932874849
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348012 Issued in NY
Practice address
1903 Sunset Ave
Utica, NY 13502-5649
Phone
(315) 624-8150
Fax
(315) 797-1537
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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 348012 NY Primary

Addresses

Primary practice location

1903 Sunset Ave
Utica, NY 13502-5649

Mailing address

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

Other names 1

  • Katlyn Jordan Seho Former name

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
I20210923001756 NY Practitioner - Nurse Practitioner 5890192439 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
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

1903 Sunset Ave
Utica, NY 13502-5649
Phone (315) 624-8150

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Oct 2, 2023 Accepting new patients
Central New York Brain & Spine Neurosurgery PLLC CurrentSince Dec 1, 2022 Accepting new patients
MVHS Inc CurrentSince Oct 2, 2023 Accepting new patients

Locations

83 Genesee St
New Hartford, NY 13413
Phone (315) 732-0995

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

107 E Chestnut St
Ste 105
Rome, NY 13440
Phone (315) 336-8302

1903 Sunset Ave
Utica, NY 13502
Phone (315) 624-8150

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

1656 Champlin Ave
Utica, NY 13502
Phone (315) 624-6241

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

Interoperability endpoints

  • Direct secure messaging: ktersten11823@mvhealthsystem.direct-ci.com

Organizations & group practices 3

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 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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1932874849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HOSPITAL DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022517",
            "telephone_number": "315-917-9966",
            "fax_number": "315-234-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025649",
            "telephone_number": "315-624-8150",
            "fax_number": "315-797-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERSTEN",
        "first_name": "KATLYN",
        "middle_name": "JORDAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLYN",
            "last_name": "SEHO",
            "middle_name": "JORDAN",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.