Individual provider Active NPI

Kaitlin Marie Fielder, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Milford, DE
National Provider Identifier
1962001180
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0011521 Issued in DE
Practice address
21 W Clarke Ave Ste 1410
Milford, DE 19963-1857
Phone
(302) 467-3200
Fax
(302) 412-4373
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 LG-0011521 DE Primary

Addresses

Primary practice location

21 W Clarke Ave Ste 1410
Milford, DE 19963-1857

Mailing address

21 W Clarke Ave Ste 1410
Milford, DE 19963-1857
Phone (302) 467-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20210309000571 DE Practitioner - Nurse Practitioner 1658787171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21 W Clarke Ave
Suite 1410
Milford, DE 19963-1857
Phone (833) 698-7221

Hospital & facility affiliations

  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0011521DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Medical Services LLC CurrentSince Dec 15, 2020 Accepting new patients
Village Primary Care LLC CurrentSince Nov 26, 2024 Accepting new patients

Locations

31 Gooden Ave
Dover, DE 19904
Phone (302) 535-0232

1125 Forrest Ave
Ste 203
Dover, DE 19904
Phone (302) 346-0100

21 W Clarke Ave
Ste 1410
Milford, DE 19963
Phone (833) 698-7221

21 W Clarke Ave
Milford, DE 19963
Phone (302) 422-3311

Interoperability endpoints

  • FHIR API: https://epproxy.bayhealth.org/FHIR/api/FHIR/R4/

Organizations & group practices 2

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1962001180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W CLARKE AVE STE 1410",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631857",
            "telephone_number": "302-467-3200",
            "fax_number": "302-412-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W CLARKE AVE STE 1410",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631857",
            "telephone_number": "302-467-3200",
            "fax_number": "302-412-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDER",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.