Kathryn Nellie Dewitt

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP019285 Issued in PA

Practice address

401 Broad Ave
Susquehanna, PA 18847-1611

Phone

(570) 853-3995

NPI assigned

Sep 18, 2018

Last updated

Sep 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Clinic, Inc.Group PAC ID 1355428269, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Endless Mountains Health Systems Hospital, Montrose, PA, CCN 391306

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathryn.dewitt.1@24136.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Family Health Clinic Inc

  dba Susquehanna Family Health Clinic Inc

  • Rural Health Clinic/Center
  • Susquehanna, PA
  • NPI 1972529543

  Corporate Officer, Operational/Managerial Control

  CMS ownership

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 Health Clinic Inc

  dba Susquehanna Family Health Clinic Inc

  • Rural Health Clinic/Center
  • Susquehanna, PA
  • NPI 1972529543
  Medicare reassignment Care Compare group NPD

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

• Endless Mountains Health Systems, Inc.

  • Critical Access Hospital
  • Montrose, PA
  • NPI 1215918560
  Care Compare affiliation

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1821572660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BROAD AVE",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188471611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BROAD AVE",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188471611",
            "telephone_number": "570-853-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "KATHRYN",
        "middle_name": "NELLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barnes-Kasson County Hospital (Family Health Clinic of Barnes Kasson Hospital)
• Linda Ann Bedford
• Kara Capozzi, MSW
• Lauretta Lynne Clowes, DC
• Janine Marie Dewitt, PMHNP
• Warren Dewitt, MD
• Paul Downton, PA-C
• Logan Lee Ellis, RDN LDN
• Family Health Clinic Inc (Susquehanna Family Health Clinic Inc)
• Ariele Garofalo, PSY.D.

• Family Nurse Practitioner in Susquehanna, PA
• Providers in Susquehanna, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.