Active NPI
Katherine Beth Bortner, PA
- Physician Assistant
- York, PA
National Provider Identifier
1861687709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA053232
- Practice address
- 30 Monument Rd Ste 1100
York, PA 17403-5024 - Phone
- (717) 851-6454
- Fax
- (717) 851-1665
- NPI assigned
- Sep 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | TMA051810 | PA | |
| Physician Assistant | 363A00000X | MA053232 | PA | Primary |
Addresses
Primary practice location
30 Monument Rd Ste 1100
York, PA 17403-5024
Mailing address
1803 Mount Rose Ave
York, PA 17403-3026
Phone (717) 851-1405
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1593951 | Other | PA | GATEWAY-WMG |
| 2606530 | Other | PA | HIGHMARK BLUE SHIELD-WMG |
Other names 1
- Katherine B Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TMA051810 | PA | MD | Medical Physician Assistant |
Interoperability endpoints
- kbortner503133@direct.umm.edu
- kbortner16202@wellspan.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1861687709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 MOUNT ROSE AVE",
"city": "YORK",
"state": "PA",
"postal_code": "174033026",
"telephone_number": "717-851-1405",
"fax_number": "717-851-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MONUMENT RD STE 1100",
"city": "YORK",
"state": "PA",
"postal_code": "174035024",
"telephone_number": "717-851-6454",
"fax_number": "717-851-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORTNER",
"first_name": "KATHERINE",
"middle_name": "BETH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "TMA051810",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA053232",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "1593951",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD-WMG",
"identifier": "2606530",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "WILSON",
"middle_name": "B",
"code": "1",
"type": "Former Name"
}
]
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.