Individual provider Active NPI

Katherine Engel, PA-C

  • Physician Assistant
  • Williamsport, PA
National Provider Identifier
1881091304
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057280 Issued in PA
Practice address
901 Memorial Ave
Williamsport, PA 17701-4725
Phone
(570) 322-5433
Fax
(570) 601-8441
NPI assigned
Nov 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA057280 PA
Physician Assistant 363A00000X MA057280 PA Primary

Addresses

Primary practice location

901 Memorial Ave
Williamsport, PA 17701-4725

Mailing address

2645 Northway Rd
Williamsport, PA 17701-8868
Phone (570) 713-7396

Other practice location 1

101 Leader Dr
Williamsport, PA 17701-1942
Phone (570) 323-8627

Other practice location 2

300 Leader Dr
Williamsport, PA 17701-1943
Phone (570) 323-3758

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kengel143399@direct.geisinger.edu Direct

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
I20161201000099 PA Practitioner - Physician Assistant 1850671272 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA057280PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Apr 3, 2017 Accepting new patients
Geisinger Clinic CurrentSince Apr 3, 2017 Accepting new patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Mar 1, 2020 Accepting new patients
Lycoming Life LLC PastSince Apr 20, 2025 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1881091304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 NORTHWAY RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177018868",
            "telephone_number": "570-713-7396",
            "fax_number": "570-601-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MEMORIAL AVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014725",
            "telephone_number": "570-322-5433",
            "fax_number": "570-601-8441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Leader Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177011942",
            "country_code": "US",
            "telephone_number": "570-323-8627",
            "fax_number": "570-323-5820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Leader Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177011943",
            "country_code": "US",
            "telephone_number": "570-323-3758",
            "fax_number": "570-323-9228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057280",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kengel143399@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 Choate Cir",
            "city": "Montoursville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177549791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.