Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kaitlin Pellicano, MD

Individual provider Family Medicine Physician · NPI 1700414091

Dr. Kaitlin Pellicano, MD is a Family Practice in Elkhorn, Wisconsin. Qualified in 2018, 8 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Wisconsin.

Years since qualifying
8
Licensed in
NJ, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

W3985 County Road Nn
Elkhorn, WI 53121-4337
Phone: (262) 741-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2020 6th Ave, Neptune, NJ 07753-6123 — (732) 202-8071

Specialties & licences

Hospice and Palliative Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PH0002X · Licence 25MA12412700 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 76460-20 (WI)

Record details

NPI number1700414091
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2020
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Elkhorn