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

Mrs. Kaitlyn Marie Mahaffy

Individual provider Family Nurse Practitioner · NPI 1023879657

Mrs. Kaitlyn Marie Mahaffy is a Nurse Practitioner in Port Huron, Michigan. Graduated from University of Michigan Medical School in 2024, 2 years ago. Practices with Blue Water Internal Medicine PC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1210 10th Ave
Port Huron, MI 48060-3406
Phone: (810) 662-3505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-5000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704360402 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704360402 (MI)

Record details

NPI number1023879657
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2024 (2 years in practice)
Group practice Blue Water Internal Medicine Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Huron