Individual provider Active NPI

Kellianna Bowne, PA-C

  • Physician Assistant
  • Hamburg, PA
National Provider Identifier
1851921944
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9 Daves Way
Hamburg, PA 19526-1413
Phone
(610) 628-7201
Fax
(610) 628-7211
NPI assigned
Jan 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9 Daves Way
Hamburg, PA 19526-1413

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-2894

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
I20200214000019 PA Practitioner - Physician Assistant 8426484254 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Luke'S HospitalGroup PAC ID 0648189688, 100 clinicians
St. Luke'S Hospital -Monroe CampusGroup PAC ID 1355637059, 53 clinicians
St. Luke'S Quakertown HospitalGroup PAC ID 8224010350, 33 clinicians
GSL HospitalGroup PAC ID 8921338583, 23 clinicians
The Carbon-Schuylkill Community Hospital, Inc.Group PAC ID 4486562030, 41 clinicians

Practice addresses (Care Compare)

1104 N St
St Luke'S Care Now
Jim Thorpe, PA 18229-1717
Phone (570) 325-2400

111 Route 715
Brodheadsville, PA 18322-7101
Phone (272) 212-0420

15065 Kutztown Rd
Kutztown, PA 19530-9276
Phone (484) 822-8001

153 Brodhead Rd
Bethlehem, PA 18017-8931
Phone (484) 526-3218

157 S W End Blvd
Quakertown, PA 18951-1140
Phone (215) 538-4930

1715 Sumneytown Pike
Lansdale, PA 19446-4833
Phone (215) 453-5600

174 Harvest LN
Pocono Summit, PA 18346-7761
Phone (484) 526-4000

2003 Sullivan TRL
Easton, PA 18040-8339
Phone (484) 503-6470

2402 Macarthur Rd
Whitehall, PA 18052-3810
Phone (484) 426-2026

2650 Woodglen Rd
Geisinger St Luke'S Care Now Pottsville
Pottsville, PA 17901-1335
Phone (272) 639-5780

2793 Geryville Pike
Pennsburg, PA 18073-2306
Phone (267) 424-8005

360 W Riddle St
Coaldale, PA 18218-1027
Phone (570) 645-8127

487 E Moorestown Rd
Wind Gap, PA 18091-9662
Phone (484) 526-7850

60 Cherry St
Suite 210
Leesport, PA 19533-8503
Phone (484) 526-4000

614 Delaware Ave
St. Luke'S Care Now Palmerton
Palmerton, PA 18071-2003
Phone (484) 822-5320

9 Dave'S Way
Hamburg, PA 19526-1463
Phone (610) 628-7201

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital Monroe Campus CurrentSince Feb 17, 2020 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Feb 17, 2020 Accepting new patients
GSL Hospital CurrentSince Jul 19, 2023 Accepting new patients
St Luke'S Hospital CurrentSince Feb 17, 2020 Accepting new patients
Carbon Schuylkill Community Hospital, Inc. CurrentSince Feb 17, 2020 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Feb 17, 2020 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Feb 17, 2020 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Feb 17, 2020 Accepting new patients
St. Luke'S Hosptial CurrentSince Feb 17, 2020 Accepting new patients
St Luke'S Hospital CurrentSince Feb 17, 2020 Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

9 Daves Way
Hamburg, PA 19526
Phone (610) 628-7201

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1851921944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-2894",
            "fax_number": "833-213-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DAVES WAY",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261413",
            "telephone_number": "610-628-7201",
            "fax_number": "610-628-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWNE",
        "first_name": "KELLIANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, PA

Sources for this page

Verify at the official NPI Registry.