Individual provider Active NPI

Katie Ulrich

  • Family Nurse Practitioner
  • Ebensburg, PA
National Provider Identifier
1104469188
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020864 Issued in PA
Practice address
325 Industrial Park Rd Ste 102
Ebensburg, PA 15931-4117
Phone
(814) 419-8046
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020864 PA Primary

Addresses

Primary practice location

325 Industrial Park Rd Ste 102
Ebensburg, PA 15931-4117

Mailing address

325 Industrial Park Rd
Ebensburg, PA 15931-4133
Phone (148) 419-8046

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
I20200217000455 PA Practitioner - Nurse Practitioner 1456788256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Human Services of Pennsylvania, LLCGroup PAC ID 0941610091, 20 clinicians

Practice addresses (Care Compare)

4731 Route 30
Suite 302
Greensburg, PA 15601-7260
Phone (724) 850-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP020864PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Human Services of Pennsylvania, LLC CurrentSince Oct 1, 2020 Accepting new patients
Redco Group, LLC CurrentSince Jun 11, 2024 Accepting new patients
Redco Group, LLC CurrentSince Jun 11, 2024 Accepting new patients
Pathways Human Services of Pennsylvania, LLC PastSince Jul 21, 2024 Accepting new patients
The Redco Group, LLC. Past Accepting new patients

Locations

140 S Anderson St
Bedford, PA 15522
Phone (814) 623-1104

101 Towne Square Way
Ste 239
Brentwood, PA 15227
Phone (412) 881-2400

325 Industrial Park Rd
Ste B
Ebensburg, PA 15931
Phone (814) 419-8046

325 Industrial Park Rd
Ste 102
Ebensburg, PA 15931
Phone (814) 419-8046

4731 Route 30
Ste 404
Greensburg, PA 15601
Phone (724) 335-9733

4731 Route 30
Ste 302
Greensburg, PA 15601
Phone (724) 830-9350

655 Church St
Ste E330
Indiana, PA 15701
Phone (724) 463-3600

23 Industrial Cir
Mifflintown, PA 17059
Phone (484) 370-3881

118 S Center Ave
Ste 3
Somerset, PA 15501
Phone (814) 444-0620

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1104469188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 INDUSTRIAL PARK RD",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314133",
            "telephone_number": "148-419-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 INDUSTRIAL PARK RD STE 102",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314117",
            "telephone_number": "814-419-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

Verify at the official NPI Registry.