Individual provider Active NPI

Katherine Baruk, CRNP

  • Family Nurse Practitioner
  • York, PA
National Provider Identifier
1629636717
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022223 Issued in PA
Practice address
1001 S George St
York, PA 17403-3645
Phone
(717) 851-2450
Fax
(717) 851-3469
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 024709 OH
Family Nurse Practitioner 363LF0000X MB5990355 PA
Family Nurse Practitioner 363LF0000X SP022223 PA Primary

Addresses

Primary practice location

1001 S George St
York, PA 17403-3645

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

717 Town Center Drive
York, PA 17408-4824
Phone (717) 356-4241

Other practice location 2

1955 Henderson Rd
Upper Arlington, OH 43220-2401
Phone (614) 340-7546

Other practice location 3

9 Nathan Ln
Annville, PA 17003-6500
Phone (717) 639-3350

Other practice location 4

455 S Washington St Ste 12
Gettysburg, PA 17325-2516
Phone (717) 339-2875

Other practice location 5

446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 738-5275

Other practice location 6

101 W Airport Rd
Lititz, PA 17543-9274
Phone (717) 466-2445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190626001021 OH Practitioner - Nurse Practitioner 2668706508 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024709OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Jun 19, 2019 Accepting new patients

Locations

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

1585 Georgesville Square Dr
Columbus, OH 43228
Phone (614) 335-0030

1955 Henderson Rd
Upper Arlington, OH 43220
Phone (614) 340-7546

455 S Washington St
Ste 12
Gettysburg, PA 17325
Phone (717) 334-1800

2250 E Market St
York, PA 17402
Phone (717) 812-6670

1001 S George St
York, PA 17403
Phone (717) 812-7687

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

Interoperability endpoints

  • Direct secure messaging: kbaruk247302@wellspan.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1629636717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033645",
            "telephone_number": "717-851-2450",
            "fax_number": "717-851-3469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Town Center Drive",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174084824",
            "country_code": "US",
            "telephone_number": "717-356-4241",
            "fax_number": "717-356-4241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1955 Henderson Rd",
            "address_purpose": "LOCATION",
            "city": "Upper Arlington",
            "state": "OH",
            "postal_code": "432202401",
            "country_code": "US",
            "telephone_number": "614-340-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Nathan Ln",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170036500",
            "country_code": "US",
            "telephone_number": "717-639-3350",
            "fax_number": "717-303-3546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 S Washington St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252516",
            "country_code": "US",
            "telephone_number": "717-339-2875",
            "fax_number": "717-334-3921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229802",
            "country_code": "US",
            "telephone_number": "717-738-5275",
            "fax_number": "717-738-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439274",
            "country_code": "US",
            "telephone_number": "717-466-2445",
            "fax_number": "717-466-2447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARUK",
        "first_name": "KATHERINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024709",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "MB5990355",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.