Individual provider Active NPI

Kaitlyn Huegel Mayer, M.D.

  • Obstetrics & Gynecology Physician
  • Twentynine Palms, CA
National Provider Identifier
1972961191
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101263370 Issued in VA
Practice address
1145 Sturgis Road
Twentynine Palms, CA 92278-8275
Phone
(760) 830-2117
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101263370 VA Primary

Addresses

Primary practice location

1145 Sturgis Road
Twentynine Palms, CA 92278-8275

Mailing address

9517 6TH Bay St
Norfolk, VA 23518-1105
Phone (908) 309-9735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219001079 VA Practitioner - Obstetrics/Gynecology 5092008391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Womens Care PLCGroup PAC ID 8820998156, 98 clinicians

Practice addresses (Care Compare)

844 Kempsville Rd
Suite 210
Norfolk, VA 23502-3927
Phone (757) 461-6131

Hospital & facility affiliations

  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology CurrentSince May 21, 2024 Accepting new patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Nov 11, 2023 Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology Past Accepting new patients

Locations

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

844 Kempsville Rd
Ste 210
Norfolk, VA 23502
Phone (757) 461-6131

880 Kempsville Rd
Ste 205
Norfolk, VA 23502
Phone (757) 451-0929

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

6353 Center Dr
Ste 100
Norfolk, VA 23502
Phone (571) 356-9735

Interoperability endpoints

  • Direct secure messaging: kaitlyn.mayer.1@22824.direct.athenahealth.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 10

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": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1972961191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9517 6TH BAY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181105",
            "telephone_number": "908-309-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 STURGIS ROAD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922788275",
            "telephone_number": "760-830-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "KAITLYN",
        "middle_name": "HUEGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101263370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twentynine Palms, CA

Sources for this page

Verify at the official NPI Registry.