Dr Katelyn Marie Norman, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Phoenix, Arizona. Her current practice location is
1209 S 1st Ave, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 258-6797.
Dr Katelyn Marie Norman is licensed to practice in Arizona (license number 232975) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689414955.
Physician's Profile
| Full Name | Dr Katelyn Marie Norman |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1209 S 1st Ave, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689414955
- Provider Enumeration Date: 05/25/2024
- Last Update Date: 07/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153860739
- Enrollment ID: I20240827002950
Medical Identifiers
Medical identifiers for Dr Katelyn Marie Norman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689414955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 232975 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 232975 (Arizona) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Katelyn Marie Norman allows following entities to bill medicare on her behalf.
| Entity Name | Valle Del Sol Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831344035
PECOS PAC ID: 8628019148
Enrollment ID: O20050516000299 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Katelyn Marie Norman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Katelyn Marie Norman, FNP-C
847 W Clarendon Ave,
Phoenix, AZ 85013-3324
Ph: (313) 618-0665 | Dr Katelyn Marie Norman, FNP-C
1209 S 1st Ave,
Phoenix, AZ 85003-2692
Ph: (602) 258-6797 |
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