Individual provider Active NPI

Kathleen Katulis, CRNP

  • Women's Health Nurse Practitioner
  • Pottsville, PA
National Provider Identifier
1811207434
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP010990 Issued in PA
Practice address
700 Schuylkill Manor Rd Ste 206
Pottsville, PA 17901-3849
Phone
(570) 628-4200
Fax
(570) 628-4824
NPI assigned
Oct 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP010990 PA Primary

Addresses

Primary practice location

700 Schuylkill Manor Rd Ste 206
Pottsville, PA 17901-3849

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

10 E Spruce St
Frackville, PA 17931-2418
Phone (570) 339-3800

Other practice location 2

541 W Bacon St
Pottsville, PA 17901-3917
Phone (570) 628-4200

Other practice location 3

700 Schuylkill Manor Rd Ste 206
Pottsville, PA 17901-3849
Phone (570) 628-4200

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
I20120831000247 PA Practitioner - Nurse Practitioner 8628225398 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1245 S Cedar Crest Blvd
201 LVPG Obstetrics and Gynecology
Allentown, PA 18103-6258
Phone (610) 402-4870

Hospital & facility affiliations

  • Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030

Merit-based Incentive Payment System (MIPS)

Final score
79.5 of 100Reported as group
Quality
66.14
Promoting interoperability
85
Improvement activities
40
Cost
74.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP010990PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. CurrentSince Aug 5, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 20, 2020 Accepting new patients
Hazleton Professional Services CurrentSince Jul 20, 2020 Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Aug 5, 2019 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3100

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870

120 Burrus Blvd
Ste 200
Brodheadsville, PA 18322
Phone (570) 420-6300

10 E Spruce St
Frackville, PA 17931
Phone (570) 874-4289

50 Moisey Dr
Ste 208
Hazle Township, PA 18202
Phone (570) 501-6380

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

237 S Mountain Blvd
Ste 7
Mountain Top, PA 18707
Phone (570) 261-5000

171 Red Horse Rd
Pottsville, PA 17901
Phone (570) 628-2229

700 Schuylkill Manor Rd
Ste 206
Pottsville, PA 17901
Phone (570) 628-4200

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

700 Schuylkill Manor Rd
Pottsville, PA 17901
Phone (717) 622-5672

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

6 S Greenview Rd
Schuylkill Haven, PA 17972
Phone (570) 366-3915

642 State Route 93 Hwy
Sugarloaf, PA 18249
Phone (570) 708-1505

642 State Route 93 Hwy
Ste 1
Sugarloaf, PA 18249
Phone (570) 708-1505

224 Claremont Ave
Tamaqua, PA 18252
Phone (570) 628-2229

Interoperability endpoints

  • Direct secure messaging: kkatulis376883@direct2.lvhn.org

Organizations & group practices 11

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 3

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": "1287187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1811207434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SCHUYLKILL MANOR RD STE 206",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013849",
            "telephone_number": "570-628-4200",
            "fax_number": "570-628-4824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Frackville",
            "state": "PA",
            "postal_code": "179312418",
            "country_code": "US",
            "telephone_number": "570-339-3800",
            "fax_number": "570-628-4824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 W Bacon St",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179013917",
            "country_code": "US",
            "telephone_number": "570-628-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Schuylkill Manor Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179013849",
            "country_code": "US",
            "telephone_number": "570-628-4200",
            "fax_number": "570-628-4824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATULIS",
        "first_name": "KATHLEEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-16",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP010990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.