Katelyn Davis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

33-57 Harrison St
Johnson City, NY 13790-2107

Phone

(607) 763-6412

NPI assigned

May 30, 2023

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

Medicare fee-for-service enrollment

Enrolled in NY, PA2 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

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physician Associates of Pennsylvania PCGroup PAC ID 5597663252, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lehigh Valley Hospital - Dickson City Hospital, Dickson City, PA, CCN 390338
• Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237

Merit-based Incentive Payment System (MIPS)

Final score

87.59 of 100Reported as group

Quality

78.3

Promoting interoperability

100

Improvement activities

40

Cost

72.17

Merit-based Incentive Payment System (MIPS)

Final score

83.3 of 100Reported as group

Quality

74.59

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Emergency Physician Associates of Pennsylvania, PC

  • Emergency Medicine Physician
  • Hanover, PA
  • NPI 1619990900

  PA

  Medicare reassignment Care Compare group NPD
• United Medical Associates PC

  • Clinic/Center
  • Binghamton, NY
  • NPI 1013972801

  NY

  Medicare reassignment NPD
• Pennsylvania Physician Services, LLC

  • Emergency Medicine Physician
  • Wilkes Barre, PA
  • NPI 1497059802

  PA

  Medicare reassignment
• Pennsylvania Physician Services, LLC

  • Emergency Medicine Physician
  • Scranton, PA
  • NPI 1184079105
  NPD

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

• Lehigh Valley Hospital- Pocono

  • General Acute Care Hospital
  • Dickson City, PA
  • NPI 1396402053

  Hospital

  Care Compare affiliation
• Scranton Hospital Company LLC

  • Ambulatory Surgical Clinic/Center
  • Scranton, PA
  • NPI 1740566595

  Hospital

  Care Compare affiliation
• Scranton Hospital Company LLC

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1881983039

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1285327072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEWIS RD",
            "address_2": "FL 2",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13905",
            "telephone_number": "607-770-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-57 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902107",
            "telephone_number": "607-763-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATELYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarzyna Halina Czerniecka-Foxx, MD
• Stephen Czumak, NP
• Gina Marie Darpino, FNP
• Jordan Ally Darrah, PHARMD
• Rajesh Jayantkrishna Dave, M.D.
• Marianne Davis, D.O.
• Meghan Elizabeth Davis, DPT
• Zachary Davis, MD
• Maureen Mary Daws, FNP
• Tamer Dawud, MD

• Physician Assistant in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.