KAITLYN JOY CHITTICK-MYERS (PMHNP) – Nurse Practitioner, NPI 1790301257
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,241 NURSE PRACTITIONER in IN
Provider Addresses for KAITLYN JOY CHITTICK-MYERS (PMHNP)
750 CHESTNUT ST
WABASH, IN 469923459
Phone: (260) 571-7934
Type: Mailing
909 E State Blvd
Fort Wayne, IN 468053404
Phone: (260) 481-2700
Fax: (260) 481-2838
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
8 JOHN KISSINGER DR
WABASH, IN 469921648
Phone: (260) 266-5379
Fax: (260) 266-5370
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 178 Open Payments records for all available years, with a total value of $2,682.
Total Amount is formed as General ($2,682) + Research ($0) + Ownership ($0) = $2,682.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($503).
Total Amount
$2,682
General + Research + Ownership
Payments
178
Total payment records
General Amount
$2,682
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $503 |
| Takeda Pharmaceuticals U.S.A., Inc. | $366 |
| Lundbeck LLC | $332 |
| ABBVIE INC. | $320 |
| ITI, Inc. | $270 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-03-24
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210324000767 | I | Nurse Practitioner | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46992)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | IN | |
| Mental Health Counselor | IN | |
| Clinical Social Worker | IN | |
| Nurse Practitioner | IN | |
| Marriage And Family Therapist | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN |
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