Katelyn Materkoski, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP018748 Issued in PA

Practice address

343 E Roy Furman Hwy Ste 103
Waynesburg, PA 15370-8084

Phone

(724) 627-5780

NPI assigned

Apr 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, OH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
• Barnesville Hospital Association, Inc Hospital, Barnesville, OH, CCN 361321
• Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
• Harrison Community Hospital Hospital, Cadiz, OH, CCN 361311
• Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmaterkoski27249@direct.wvuhsdirect.com

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.

• Wheeling Hospital Inc

  • Family Medicine Physician
  • Wheeling, WV
  • NPI 1548923923

  OH

  Medicare reassignment Care Compare group
• Washington Physician Services

  • Family Medicine Physician
  • Washington, PA
  • NPI 1316917669
  Medicare reassignment NPD
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  PA

  Medicare reassignment NPD
• Wheeling Hospital, Inc.

  • Cardiovascular Disease Physician
  • Cadiz, OH
  • NPI 1144746876
  NPD

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

• Barnesville Hospital Association, Inc.

  • Critical Access Hospital
  • Barnesville, OH
  • NPI 1235135450
  Care Compare affiliation
• Harrison Community Hospital, Inc.

  • Critical Access Hospital
  • Cadiz, OH
  • NPI 1134151137
  Care Compare affiliation
• Reynolds Memorial Hospital, Inc

  • General Acute Care Hospital
  • Glen Dale, WV
  • NPI 1144228305
  Care Compare affiliation
• Wetzel County Hospital, Inc.

  • Rural Acute Care Hospital
  • New Martinsville, WV
  • NPI 1376175240
  Care Compare affiliation
• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  Care Compare affiliation

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1174029318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LEONARD AVE",
            "address_2": "BLDG 2 4TH FLOOR",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E ROY FURMAN HWY STE 103",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708084",
            "telephone_number": "724-627-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATERKOSKI",
        "first_name": "KATELYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmaterkoski27249@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "51339 National Rd",
            "city": "St Clairsvle",
            "state": "OH",
            "country_code": "US",
            "postal_code": "439509119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luxottica of America Inc.
• Maeve Magee, ATC
• Karen Louise Malzahn, LPC
• John P Martin, DO
• Tonya Martin, P.A.
• Rebekah Barbara Matta
• Giuliana Mazza-Congrove, CRNP
• Elaina McCoulskey
• McCracken Pharmacy Inc
• McCracken Pharmacy Inc

• Family Nurse Practitioner in Waynesburg, PA
• Providers in Waynesburg, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.

Verify at the official NPI Registry.