Individual provider Active NPI

Katlyn Ann Stern, PA-C

  • Physician Assistant
  • McConnellsburg, PA
National Provider Identifier
1407384597
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone
(717) 485-3155
NPI assigned
Jun 1, 2017
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA Primary

Addresses

Primary practice location

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559

Mailing address

3050 Williamsburg Dr Apt 4
Latrobe, PA 15650-9366
Phone (814) 215-0142

Other practice location 1

508 S Church St
MT Pleasant, PA 15666-1702
Phone (724) 547-1500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927000590 PA Practitioner - Physician Assistant 4880968049 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Physician Assistant CurrentSince Sep 1, 2020 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Sep 1, 2017 Accepting new patients
Fulton County Medical Center CurrentSince Jun 1, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC Physician Assistant CurrentSince Sep 1, 2020 Accepting new patients
Fulton County Medical Center CurrentSince Jun 1, 2018 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Sep 1, 2017 Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

508 S Church St
Mt Pleasant, PA 15666
Phone (724) 547-1500

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1407384597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 WILLIAMSBURG DR APT 4",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156509366",
            "telephone_number": "814-215-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD RD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338559",
            "telephone_number": "717-485-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 S Church St",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "PA",
            "postal_code": "156661702",
            "country_code": "US",
            "telephone_number": "724-547-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERN",
        "first_name": "KATLYN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McConnellsburg, PA

Sources for this page

Verify at the official NPI Registry.