Individual provider Active NPI

Kate Bomar, PA-C

  • Physician Assistant
  • Montoursville, PA
National Provider Identifier
1760935738
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA062540 Issued in PA
Practice address
780 Broad St
Montoursville, PA 17754-2419
Phone
(570) 368-2870
Fax
(570) 368-4463
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109594 FL
Physician Assistant 363A00000X MA062540 PA Primary

Addresses

Primary practice location

780 Broad St
Montoursville, PA 17754-2419

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170315002511 FL Practitioner - Physician Assistant 4183909005 Reassigns benefits to 1 organization
I20210721003311 PA Practitioner - Physician Assistant 4183909005 Reassigns benefits to 2 organizations
I20251014002682 IN Practitioner - Physician Assistant 4183909005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1429 No 6TH St
Uap Medical Office Building
Terre Haute, IN 47807-1037
Phone (812) 232-0564

1606 N 7TH St
Terre Haute, IN 47804-2706

1606 No 7TH St
Union Hospital Inc
Terre Haute, IN 47804-2706
Phone (812) 238-7000

221 S 6 TH St
Apands Clinic Downtown
Terre Haute, IN 47807-4214
Phone (812) 232-0564

221 S 6TH St
Terre Haute, IN 47807-4214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9109594FLMDPhysician Assistant
MA062540PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Aug 16, 2021 Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Oct 20, 2025 Accepting new patients
Geisinger Clinic CurrentSince Aug 16, 2021 Accepting new patients
The Nemours Foundation CurrentSince Jul 2, 2018 Accepting new patients
The Nemours Foundation CurrentSince Jul 2, 2018 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Oct 20, 2025 Accepting new patients
Geisinger Clinic CurrentSince Aug 16, 2021 Accepting new patients

Locations

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100

164 NW Madison St
Spc Care
Lake City, FL 32055
Phone (386) 758-1811

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

780 Broad St
Montoursville, PA 17754
Phone (570) 368-2870

Organizations & group practices 10

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 2

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1760935738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 BROAD ST",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177542419",
            "telephone_number": "570-368-2870",
            "fax_number": "570-368-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMAR",
        "first_name": "KATE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109594",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montoursville, PA

Sources for this page

Verify at the official NPI Registry.