Individual ProviderKaitlyn NelsonPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 55th St, Brooklyn, NY 11220-2508(718) 630-7000(215) 206-4074PECOS EnrollmentBased on the most recent information from CMS, provider Kaitlyn Nelson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1649604281Provider TypeIndividualFull NameNelson, KaitlynCredentialPA-CGenderFemaleSole ProprietorYesEnumeration Date8/30/2013Last Updated8/30/2013Contact InformationPractice LocationPractice Address150 55th St, Brooklyn, NY 11220-2508Phone(718) 630-7000FaxUnlisted FaxMailing LocationMailing Address3971 Gloucester Ct, Bensalem, PA 19020-4813Phone(215) 206-4074FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0167841New York