Katelyn May Bowen, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP019687 Issued in PA

Practice address

145 Shaffer St
Williamsport, PA 17702-6727

Phone

(570) 327-1335

Fax

(570) 321-7800

NPI assigned

Dec 4, 2018

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Katelyn May Baldys Former name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katelynbowencrnp@fpc.medentdirect.com

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.

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• Geisinger-HM Joint Venture, LLC

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  Medicare reassignment NPD
• Geisinger Clinic

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• Geisinger-HM Joint Venture, LLC

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  • NPI 1073075909

  Multi-Specialty

  NPD
• Geisinger-HM Joint Venture, LLC

  dba Geisinger Jersey Shore Associates

  • Family Medicine Physician
  • Lock Haven, PA
  • NPI 1427604222

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1861962714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SHAFFER ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177026727",
            "telephone_number": "570-327-1335",
            "fax_number": "570-321-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "KATELYN",
        "middle_name": "MAY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019687",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP019687",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036077900002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1S1977",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katelynbowencrnp@fpc.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "FAMILY PRACTICE CENTER, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "145 Shaffer St",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177026727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "BALDYS",
            "middle_name": "MAY",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hollie Noelle Border, OTR/L
• Scott Border, COTA/L
• Emily Rose Boring, LAPC
• David J Borys, MD
• Ashley Boschi
• Abbey Lynn Bower, PA-C
• Hannah Bower
• Joshua Alan Bower, PA-C
• Stephanie Bower, RM, IBCLC
• Jenna Renee Bowersox, CRNA

• Nurse Practitioner in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.

Verify at the official NPI Registry.