Individual provider Active NPI

Katrina Harriger, PA-C

  • Physician Assistant
  • Brookville, PA
National Provider Identifier
1043779382
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA005307 Issued in PA
Practice address
477 Route 28
Brookville, PA 15825-7159
Phone
(814) 849-3035
NPI assigned
Mar 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP007780 PA
Medical Physician Assistant 363AM0700X OA005307 PA
Physician Assistant 363A00000X OA005307 PA Primary

Addresses

Primary practice location

477 Route 28
Brookville, PA 15825-7159

Mailing address

2784 Hormtown Rd
Reynoldsville, PA 15851-7304
Phone (814) 952-9529

Other practice location 1

1515 Wayne Ave
Indiana, PA 15701-4702
Phone (724) 349-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200806001392 PA Practitioner - Physician Assistant 9739504812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Associates of Western Pennsylvania PCGroup PAC ID 0547208308, 7 clinicians

Practice addresses (Care Compare)

477 Route 28
Brookville, PA 15825-7159
Phone (814) 849-3034

Hospital & facility affiliations

  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Independence Health System Clarion Hospital Hospital, Clarion, PA, CCN 390093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OP007780PAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Associates of Western PA. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katrina@pcaofwpa.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1043779382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2784 HORMTOWN RD",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158517304",
            "telephone_number": "814-952-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 ROUTE 28",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158257159",
            "telephone_number": "814-849-3035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Wayne Ave",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157014702",
            "country_code": "US",
            "telephone_number": "724-349-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIGER",
        "first_name": "KATRINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-17",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP007780",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA005307",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, PA

Sources for this page

Verify at the official NPI Registry.