Katie Patricia Rudolph, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP031635 Issued in PA

Practice address

640 Avenue a
Feasterville Trevose, PA 19053-4645

Phone

(215) 514-8041

NPI assigned

Apr 17, 2025

Last updated

Apr 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infusion Express of Pennsylvania PLLCGroup PAC ID 3678852282, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Infusion Express of Pennsylvania PLLC

  dba IVX Health

  • Infusion Therapy Clinic/Center
  • Malvern, PA
  • NPI 1184179236
  Medicare reassignment Care Compare group NPD
• Ivxpress Inc

  dba IVX Health

  • Infusion Therapy Clinic/Center
  • Overland Park, KS
  • NPI 1801025481
  NPD (past)

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1699561423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 AVENUE A",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534645",
            "telephone_number": "215-514-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 AVENUE A",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534645",
            "telephone_number": "215-514-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "KATIE",
        "middle_name": "PATRICIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Rodriguez, RN MSN
• Gale Anne Rogers, RPH
• Debra E Rosen, DDS
• Lily S Rothman, M.A., C.C.C,
• Boris Rubinstein, DMD
• Leslie Rychalsky, NP
• Salus Health Inc
• Jessica Ann Samuel, M.S. CCC-SLP/L
• Harpaul Singh Sandhu, M.D.
• Jazmin Santiago

• Family Nurse Practitioner in Feasterville Trevose, PA
• Providers in Feasterville Trevose, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.