NPIMap

Individual provider Active NPI

Katelyn Marie Shoe, MD

  • Family Medicine Physician
  • Lebanon, PA
National Provider Identifier
1730593187
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27751 Issued in MD
Practice address
1701 Cornwall Rd Ste 201
Lebanon, PA 17042-7480
Phone
(717) 675-1780
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 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 Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 27751 MD Primary

Addresses

Primary practice location

1701 Cornwall Rd Ste 201
Lebanon, PA 17042-7480

Mailing address

311 N 4TH St Ste 1
Oakland, MD 21550-1371
Phone (301) 334-7855

Other identifiers 1

IdentifierTypeStateIssuer
K079-0010OtherMDBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181203002971 PA Practitioner - Family Practice 7315164902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

101 Larkspur LN
Ephrata, PA 17522-8402
Phone (717) 738-0660

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Lancaster, PA, CCN 397231
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Single Specialty Current Accepting new patients
Wellspan Medical Group CurrentSince Nov 19, 2018 Accepting new patients
Lancaster General Medical Group Single Specialty Current Accepting new patients
Lancaster General Medical Group CurrentSince Sep 12, 2022 Accepting new patients
Wellspan Medical Group Family Medicine CurrentSince Nov 19, 2018 Accepting new patients
Lancaster General Medical Group Single Specialty CurrentSince Sep 12, 2022 Accepting new patients
Lancaster General Medical Group Single Specialty Past Accepting new patients

Locations

101 Larkspur Ln
Ephrata, PA 17522
Phone (717) 738-0660

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1701 Cornwall Rd
Ste 201
Lebanon, PA 17042
Phone (717) 675-1750

720 Norman Dr
Lebanon, PA 17042
Phone (717) 279-6700

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

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

Interoperability endpoints

  • Direct secure messaging: kshoe225360@direct-lghealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1730593187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 4TH ST STE 1",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501371",
            "telephone_number": "301-334-7855",
            "fax_number": "301-334-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CORNWALL RD STE 201",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427480",
            "telephone_number": "717-675-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOE",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "27751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "K079-0010",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.