Individual provider Active NPI

Katelynn Hatalsky, MS, PA-C

  • Physician Assistant
  • Cambridge, NY
National Provider Identifier
1295347466
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
025144 Issued in NY
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221000792 NY Practitioner - Physician Assistant 4385056175 Reassigns benefits to 3 organizations

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
Glens Falls Hospital IncGroup PAC ID 8325955974, 175 clinicians

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

LicenseStateTypeSpecialty
025144-01NYMDEmergency Medicine Physician
025144NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Sep 3, 2020 Accepting new patients
Glens Falls Hospital Inc CurrentSince Apr 15, 2024 Accepting new patients
Saratoga Hospital CurrentSince Sep 3, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.