Individual provider Active NPI

Katherine A Kudrick, PA-C

  • Physician Assistant
  • Lewisburg, PA
National Provider Identifier
1053700450
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA003504 Issued in PA
Practice address
7095 Westbranch Hwy Ste 1100
Lewisburg, PA 17837-6864
Phone
(570) 524-5050
Fax
(570) 524-5250
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA003504 PA Primary
Physician Assistant 363A00000X MA057351 PA

Addresses

Primary practice location

7095 Westbranch Hwy Ste 1100
Lewisburg, PA 17837-6864

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

935 Route 522
Selinsgrove, PA 17870-9714
Phone (570) 372-6102

Other practice location 2

101 Meadow Green Dr
Mifflinburg, PA 17844-9300
Phone (570) 966-1122

Other practice location 3

98 Reitz Blvd
Lewisburg, PA 17837-9270
Phone (570) 524-4443

Other practice location 4

7055 Westbranch Hwy
Lewisburg, PA 17837-6808
Phone (570) 524-4141

Other practice location 5

964 Carpenter Rd
Milton, PA 17847-7527
Phone (570) 742-2300

Other practice location 6

112 Ironstone Dr
Northumberland, PA 17857-8543
Phone (570) 473-0545

Other practice location 7

412 W Market St
Middleburg, PA 17842-1076
Phone (570) 837-6163

Other practice location 8

3 Hospital Dr Ste 214
Lewisburg, PA 17837-9394
Phone (570) 542-4242

Other practice location 9

7095 Westbranch Hwy Ste 1000
Lewisburg, PA 17837-6864
Phone (570) 523-3006

Other identifiers 1

IdentifierTypeStateIssuer
1032097000001MedicaidPA

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
I20150220000327 PA Practitioner - Physician Assistant 4183949894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

101 Meadow Green Dr
Mifflinburg, PA 17844-9300
Phone (570) 966-1122

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

25 Monument Rd
York, PA 17403-5073

3 Hospital Dr
Lewisburg, PA 17837-9394

7095 Westbranch Hwy
Lewisburg, PA 17837-6864

7095 Westbranch Hwy 1000
Lewisburg, PA 17837-6864

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA057351PAMDPhysician Assistant
OA003504PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Evangelical Medical Services Organization CurrentSince Feb 16, 2015 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Evangelical Medical Services Organization Past Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

3 Hospital Dr
Ste 214
Lewisburg, PA 17837
Phone (570) 524-4242

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

7055 Westbranch Hwy
Lewisburg, PA 17837
Phone (570) 524-4141

7095 Westbranch Hwy
Ste 1000
Lewisburg, PA 17837
Phone (570) 523-3006

7095 Westbranch Hwy
Ste 1100
Lewisburg, PA 17837
Phone (570) 524-5050

98 Reitz Blvd
Lewisburg, PA 17837
Phone (570) 524-4443

412 W Market St
Middleburg, PA 17842
Phone (570) 837-6163

101 Meadow Green Dr
Mifflinburg, PA 17844
Phone (570) 966-1122

964 Carpenter Rd
Milton, PA 17847
Phone (570) 742-2300

112 Ironstone Dr
Northumberland, PA 17857
Phone (570) 473-0545

935 Route 522
Selinsgrove, PA 17870
Phone (570) 372-6102

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: kkudrick485982@wellspan.direct-ci.com

Organizations & group practices 6

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1053700450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 WESTBRANCH HWY STE 1100",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376864",
            "telephone_number": "570-524-5050",
            "fax_number": "570-524-5250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 Route 522",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178709714",
            "country_code": "US",
            "telephone_number": "570-372-6102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Meadow Green Dr",
            "address_purpose": "LOCATION",
            "city": "Mifflinburg",
            "state": "PA",
            "postal_code": "178449300",
            "country_code": "US",
            "telephone_number": "570-966-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 Reitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379270",
            "country_code": "US",
            "telephone_number": "570-524-4443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7055 Westbranch Hwy",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376808",
            "country_code": "US",
            "telephone_number": "570-524-4141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "964 Carpenter Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "PA",
            "postal_code": "178477527",
            "country_code": "US",
            "telephone_number": "570-742-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Ironstone Dr",
            "address_purpose": "LOCATION",
            "city": "Northumberland",
            "state": "PA",
            "postal_code": "178578543",
            "country_code": "US",
            "telephone_number": "570-473-0545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 W Market St",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "PA",
            "postal_code": "178421076",
            "country_code": "US",
            "telephone_number": "570-837-6163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Hospital Dr Ste 214",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379394",
            "country_code": "US",
            "telephone_number": "570-542-4242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 Westbranch Hwy Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376864",
            "country_code": "US",
            "telephone_number": "570-523-3006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUDRICK",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003504",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032097000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.