Individual provider Active NPI

Kathryn Elizabeth Mosholder, FNP-BC

  • Family Nurse Practitioner
  • Johnstown, PA
National Provider Identifier
1508742982
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP033582 Issued in PA
Practice address
203 College Park PLZ
Johnstown, PA 15904-2833
Phone
(814) 263-5804
NPI assigned
Aug 12, 2025
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP033582 PA Primary

Addresses

Primary practice location

203 College Park PLZ
Johnstown, PA 15904-2833

Mailing address

1 Corporate Dr Ste 107
Bedford, PA 15522-7941
Phone (814) 842-3206

Other names 1

  • Kathryn Elizabeth Suba Former name

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
I20251229002993 PA Practitioner - Nurse Practitioner 8628574340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hyndman Area Health Center IncGroup PAC ID 5991614968, 18 clinicians

Practice addresses (Care Compare)

104 Railroad St
Bedford, PA 15522-1013
Phone (814) 263-5804

203 College Park PLZ
Johnstown, PA 15904-2833
Phone (814) 961-3500

227 Franklin St
Johnstown, PA 15901-1916
Phone (814) 634-4968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP033582PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hyndman Area Health Center, Inc CurrentSince Oct 10, 2025 Accepting new patients
Hyndman Area Health Center, Inc. CurrentSince Oct 10, 2025 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1 Corporate Dr
Ste 107
Bedford, PA 15522
Phone (814) 842-3206

104 Railroad St
Bedford, PA 15522
Phone (814) 263-5804

203 College Park Plz
Johnstown, PA 15904
Phone (814) 266-6037

227 Franklin St
Ste 304
Johnstown, PA 15901
Phone (814) 634-4968

Organizations & group practices 3

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": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1508742982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR STE 107",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155227941",
            "telephone_number": "814-842-3206",
            "fax_number": "814-842-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 COLLEGE PARK PLZ",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042833",
            "telephone_number": "814-263-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHOLDER",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "SUBA",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.