Individual provider Active NPI

Katouchca Michel, FNP

  • Family Nurse Practitioner
  • Phila, PA
National Provider Identifier
1710113295
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP033395 Issued in PA
Practice address
4546 Whitaker Ave
Phila, PA 19120-4632
Phone
(267) 463-7086
NPI assigned
Jun 10, 2009
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 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 SP033395 PA Primary

Addresses

Primary practice location

4546 Whitaker Ave
Phila, PA 19120-4632

Mailing address

4546 Whitaker Ave
Phila, PA 19120-4632

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
I20251217003450 PA Practitioner - Nurse Practitioner 4587159512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 Innovation Blvd
Suite 205
State College, PA 16803-6611

4546 Whitaker Ave
Philadelphia, PA 19120-4632

9 Meron Dr
Unit 14
Monroe, NY 10950-8436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP033395PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Preferred PA 5 Professional Corporation CurrentSince Oct 1, 2025 Accepting new patients
Perfect Touch Homecare LLC CurrentSince Feb 2, 2025 Accepting new patients

Locations

329 S Oyster Bay Rd
Plainview, NY 11803
Phone (714) 452-1961

330 Innovation Blvd
Ste 205
State College, PA 16803
Phone (484) 213-4692

Organizations & group practices 2

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1710113295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 WHITAKER AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191204632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 WHITAKER AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191204632",
            "telephone_number": "267-463-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "KATOUCHCA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.