Active NPI
Katherine Edna Johnson, CNM
- Advanced Practice Midwife
- Hanover, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- MW010410
- Practice address
- 20 North St
Hanover, PA 17331-2275 - Phone
- (717) 637-7755
- Fax
- (717) 637-7142
- NPI assigned
- Jul 15, 2016
- Last updated
- Nov 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | MW010410 | PA | Primary |
Addresses
Primary practice location
20 North St
Hanover, PA 17331-2275
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 337-4487
Other practice location 1
450 S Washington St Ste B
Gettysburg, PA 17325-2500
Phone (717) 337-4487
Other practice location 2
12 St Paul Dr Ste 207
Chambersburg, PA 17201-1035
Phone (717) 217-6882
Other practice location 3
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 765-5086
Other practice location 4
97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6882
Other practice location 5
120 N 7th St Ste 200
Chambersburg, PA 17201-1795
Phone (717) 217-6882
Other practice location 6
214 Peach Orchard Rd
Mc Connellsburg, PA 17233-8559
Phone (717) 485-6125
Other practice location 7
601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5086
Other names 1
- Kathernine Edna Wallett
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kjohnson225227@phsdirect.pinnaclehealth.org | Direct |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 N St
Hanover, PA 17331-3357
Phone (717) 316-3939
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Wellspan Medical Group | Advanced Practice Midwife | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Past | Accepting new patients |
Locations
12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026
12 St Paul Dr
Ste 207
Chambersburg, PA 17201
Phone (717) 217-6882
120 N 7th St
Chambersburg, PA 17201
Phone (717) 217-6882
120 N 7th St
Ste 200
Chambersburg, PA 17201
Phone (717) 217-6800
450 S Washington St
Ste B
Gettysburg, PA 17325
Phone (717) 337-4487
24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512
20 North St
Hanover, PA 17331
Phone (717) 637-7755
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6800
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
Interoperability endpoints
- kjohnson291910@upmc.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba UPMC Children's Specialists-Neurology
- Neurology with Special Qualifications in Child Neurology Physician
- Lemoyne, PA
- NPI 1922669050
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan OB/GYN
- Obstetrics & Gynecology Physician
- York, PA
- NPI 1629139621
Advanced Practice Midwife
-
dba PinnacleHealth Endocrinology Associates
- Endocrinology, Diabetes & Metabolism Physician
- Mechanicsburg, PA
- NPI 1518918523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1801249743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-337-4487",
"fax_number": "717-461-7149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 NORTH ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173312275",
"telephone_number": "717-637-7755",
"fax_number": "717-637-7142"
}
],
"practiceLocations": [
{
"address_1": "450 S Washington St Ste B",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252500",
"country_code": "US",
"telephone_number": "717-337-4487",
"fax_number": "717-461-7149",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12 St Paul Dr Ste 207",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011035",
"country_code": "US",
"telephone_number": "717-217-6882",
"fax_number": "717-255-0157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24 Antrim Commons Dr",
"address_purpose": "LOCATION",
"city": "Greencastle",
"state": "PA",
"postal_code": "172251623",
"country_code": "US",
"telephone_number": "717-765-5086",
"fax_number": "717-762-4551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "97 Progress Blvd",
"address_purpose": "LOCATION",
"city": "Shippensburg",
"state": "PA",
"postal_code": "172579053",
"country_code": "US",
"telephone_number": "717-217-6882",
"fax_number": "717-255-0157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 N 7th St Ste 200",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011795",
"country_code": "US",
"telephone_number": "717-217-6882",
"fax_number": "717-255-0157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "214 Peach Orchard Rd",
"address_purpose": "LOCATION",
"city": "Mc Connellsburg",
"state": "PA",
"postal_code": "172338559",
"country_code": "US",
"telephone_number": "717-485-6125",
"fax_number": "717-255-0157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Main St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682332",
"country_code": "US",
"telephone_number": "717-765-5086",
"fax_number": "717-762-4551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "KATHERINE",
"middle_name": "EDNA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2023-11-06",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "PA",
"license": "MW010410",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kjohnson225227@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "20 North St",
"city": "Hanover",
"state": "PA",
"country_code": "US",
"postal_code": "173312275",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATHERNINE",
"last_name": "WALLETT",
"middle_name": "EDNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.