Active NPI
Katlyn Elisa Yebernetsky, DO
- Emergency Medicine Physician
- Danville, PA
National Provider Identifier
1225686983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OT025157
- Practice address
- 100 N Academy Ave
Danville, PA 17822-0001 - Phone
- (570) 271-6812
- Fax
- (570) 271-6507
- NPI assigned
- Aug 27, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OA004962 | PA | |
| Emergency Medicine Physician | 207P00000X | OT025157 | PA | Primary |
| Physician Assistant | 363A00000X | MA060941 | PA |
Addresses
Primary practice location
100 N Academy Ave
Danville, PA 17822-0001
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260529001821 | PA | Order and Referring Only - Emergency Medicine | 9830421262 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA004962 | PA | MD | Emergency Medicine Physician |
| OT025157 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger-HM Joint Venture LLC | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Physician Assistant | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
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.
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- NPI 1952995482
-
- Internal Medicine Physician
- Muncy, PA
- NPI 1952076119
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1073075909
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1225686983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178220001",
"telephone_number": "570-271-6812",
"fax_number": "570-271-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEBERNETSKY",
"first_name": "KATLYN",
"middle_name": "ELISA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OA004962",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OT025157",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA060941",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.