NPIMap

Individual provider Active NPI

Katelyn Matthew, CRNP

  • Women's Health Nurse Practitioner
  • Danville, PA
National Provider Identifier
1952774150
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP015341 Issued in PA
Practice address
100 N Academy Ave
OB/GYN Dept.
Danville, PA 17822-2920
Phone
(570) 271-6298
Fax
(570) 271-5841
NPI assigned
Nov 10, 2015
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP015341 PA Primary

Addresses

Primary practice location

100 N Academy Ave
OB/GYN Dept.
Danville, PA 17822-2920

Mailing address

100 N Academy Ave
OB/GYN Dept.
Danville, PA 17822-2920
Phone (570) 271-6298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160224001981 PA Practitioner - Nurse Practitioner 2264737550 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950

3701 Perkiomen Ave
Reading, PA 19606-2739
Phone (484) 628-2220

4885 Demoss Rd
Reading, PA 19606-9025

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Dec 9, 2019 Accepting new patients
Wellspan Medical Group CurrentSince Dec 10, 2018 Accepting new patients
Geisinger Clinic CurrentSince Feb 1, 2016 Accepting new patients
Tower Health Medical Group CurrentSince Dec 9, 2019 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Geisinger Clinic CurrentSince Feb 1, 2016 Accepting new patients
Geisinger Clinic Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 10, 2018 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Tower Health Medical Group Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

175 Martin Ave
Ste 105
Ephrata, PA 17522
Phone (717) 466-5420

845 Helen Dr
#200
Lebanon, PA 17042
Phone (717) 466-5420

3701 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-5600

4885 Demoss Rd
Ste 200
Reading, PA 19606
Phone (610) 779-0300

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1952774150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "address_2": "OB/GYN DEPT.",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178222920",
            "telephone_number": "570-271-6298",
            "fax_number": "570-271-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "address_2": "OB/GYN DEPT.",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178222920",
            "telephone_number": "570-271-6298",
            "fax_number": "570-271-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEW",
        "first_name": "KATELYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP015341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.