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

Katelyn McKillop, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1932718061

Katelyn McKillop, PHYSICIANASSISTANT is a Physician Assistant in New York, New York. Qualified in 2020, 6 years ago. Practices with Haddon Emergency Physicians LLC, a 21-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
6
Licensed in
NY, PA
In the registry since
2020
Specialties on file
4
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Practice location Address checks out

622 W 168th St Ste VC-260
New York, NY 10032-3720
Phone: (212) 305-5067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 034634 (NY)
Physician Assistant Taxonomy 363A00000X · Licence MA061676 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA061676 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 0A005296 (PA)

Record details

NPI number1932718061
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedJuly 24, 2020
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Haddon Emergency Physicians Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients129
Services billed 201 a service is one billed item, such as a visit, a test or a procedure
Average patient age67

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Haddon Emergency Physicians LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 21 clinicians in the practice; 12 are shown here.

Other providers in New York