Active NPI
Katelyn Mellinger, PA-C
- Medical Physician Assistant
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 170 N Pointe Blvd
Lancaster, PA 17601-4132 - Phone
- (717) 299-4871
- Fax
- (717) 391-2494
- NPI assigned
- Jul 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
170 N Pointe Blvd
Lancaster, PA 17601-4132
Mailing address
170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 299-4871
Other practice location 1
2913 Spooky Nook Rd Ste 100
Manheim, PA 17545-9149
Phone (717) 299-4871
Other practice location 2
212 Willow Valley Lakes Dr Ste 201
Willow Street, PA 17584-9668
Phone (717) 299-4871
Other practice location 3
1701 Cornwall Rd Ste 200
Lebanon, PA 17042-7480
Phone (717) 299-4871
Other names 1
- Katelyn Clark
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 299-4871
3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644
505 Historic Dr
Strasburg, PA 17579-1479
Phone (717) 687-0313
Hospital & facility affiliations
- Lancaster General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Medical Group | Current | Accepting new patients | |
| Orthopedic Assoc of Lancaster LTD | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Past | Accepting new patients |
Locations
5360 Lincoln Hwy
Ste 15
Gap, PA 17527
Phone (717) 442-8111
170 N Pointe Blvd
Lancaster, PA 17601
3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644
538 N Queen St
Ste 100
Lancaster, PA 17603
Phone (717) 394-8908
1701 Cornwall Rd
Ste 200
Lebanon, PA 17042
2913 Spooky Nook Rd
Ste 100
Manheim, PA 17545
950 S Octorara Trl
Parkesburg, PA 19365
Phone (610) 857-6616
505 Historic Dr
Strasburg, PA 17579
Phone (717) 464-1957
222 Willow Valley Lakes Dr
Ste 1900
Willow Street, PA 17584
Phone (717) 464-9430
212 Willow Valley Lakes Dr
Ste 201
Willow Street, PA 17584
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Lancaster, PA
- NPI 1952392383
-
- Orthopaedic Surgery Physician
- Lancaster, PA
- NPI 1609835933
-
- Obstetrics & Gynecology Physician
- Lancaster, PA
- NPI 1306724570
-
- Family Medicine Physician
- Strasburg, PA
- NPI 1316912785
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1104875103
-
- General Acute Care Hospital
- Parkesburg, PA
- NPI 1245571942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1154874337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 N POINTE BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014132",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 N POINTE BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014132",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494"
}
],
"practiceLocations": [
{
"address_1": "2913 Spooky Nook Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Manheim",
"state": "PA",
"postal_code": "175459149",
"country_code": "US",
"telephone_number": "717-299-4871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "212 Willow Valley Lakes Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Willow Street",
"state": "PA",
"postal_code": "175849668",
"country_code": "US",
"telephone_number": "717-299-4871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 Cornwall Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427480",
"country_code": "US",
"telephone_number": "717-299-4871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELLINGER",
"first_name": "KATELYN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-25",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATELYN",
"last_name": "CLARK",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.