Active NPI
Katelynn Hatalsky, MS, PA-C
- Physician Assistant
- Cambridge, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 025144
- Practice address
- 35 Gilbert Street
Cambridge Medical Center
Cambridge, NY 12816-2618 - Phone
- (518) 677-3163
- Fax
- (518) 677-3180
- NPI assigned
- Aug 19, 2020
- Last updated
- Feb 2, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 025144-01 | NY | |
| Physician Assistant | 363A00000X | 025144 | NY | Primary |
Addresses
Primary practice location
35 Gilbert Street
Cambridge Medical Center
Cambridge, NY 12816-2618
Mailing address
100 Park Street
Glens Falls Hospital - Credentialing
Glens Falls, NY 12801
Phone (518) 926-6992
Other practice location 1
211 Church St
Saratoga Spgs, NY 12866-1003
Phone (518) 587-3222
Other names 1
- Katelynn Leavey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Albany Medical College of Union University, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
35 Gilbert St
Cambridge, NY 12816-2618
Phone (518) 677-3961
79 N St
Granville Medical Center
Granville, NY 12832-1137
Phone (518) 642-0612
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025144-01 | NY | MD | Emergency Medicine Physician |
| 025144 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saratoga Hospital | Current | Accepting new patients | |
| Glens Falls Hospital Inc | Current | Accepting new patients | |
| Saratoga Hospital | Current | Accepting new patients |
Locations
35 Gilbert St
Cambridge, NY 12816
Phone (518) 677-3163
100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924
79 North St
Granville, NY 12832
Phone (518) 642-0612
6 Medical Park Dr
Malta, NY 12020
Phone (518) 289-2020
1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699
211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461
3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800
Interoperability endpoints
- kleavey99838@albanymed.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Adirondack Medical Services
- Family Medicine Physician
- Glens Falls, NY
- NPI 1336198217
-
dba Malta Med Emergent Care
- Urgent Care Clinic/Center
- Malta, NY
- NPI 1700159613
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
-
dba Glens Falls Hospital Community Pharmacy
- Community/Retail Pharmacy
- Glens Falls, NY
- NPI 1619990991
-
dba The Community Pharmacy at Saratoga Hospital
- Community/Retail Pharmacy
- Saratoga Springs, NY
- NPI 1164148110
-
- Family Medicine Physician
- Saratoga SPGS, NY
- NPI 1881924322
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
dba Albany Medical Center South Clinical Campus
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
-
- General Acute Care Hospital
- Glens Falls, NY
- NPI 1871606764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738454400000",
"number": "1295347466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARK STREET",
"address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-926-6992",
"fax_number": "518-926-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 GILBERT STREET",
"address_2": "CAMBRIDGE MEDICAL CENTER",
"city": "CAMBRIDGE",
"state": "NY",
"postal_code": "128162618",
"telephone_number": "518-677-3163",
"fax_number": "518-677-3180"
}
],
"practiceLocations": [
{
"address_1": "211 Church St",
"address_purpose": "LOCATION",
"city": "Saratoga Spgs",
"state": "NY",
"postal_code": "128661003",
"country_code": "US",
"telephone_number": "518-587-3222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATALSKY",
"first_name": "KATELYNN",
"credential": "MS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2025-02-02",
"certification_date": "2025-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "025144-01",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "025144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATELYNN",
"last_name": "LEAVEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cambridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; 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.