Individual provider Active NPI

Katelyn Elizabeth Gerrity

  • Acute Care Nurse Practitioner
  • Philadephia, PA
National Provider Identifier
1962081026
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP023402 Issued in PA
Practice address
3400 Civic Center Blvd
11TH Floor South Tower
Philadephia, PA 19104
Phone
(570) 898-8758
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X SP023402 PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd
11TH Floor South Tower
Philadephia, PA 19104

Mailing address

319 E Allen St
Unit 3
Philadephia, PA 19125
Phone (570) 898-8758

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
I20210526003461 PA Practitioner - Nurse Practitioner 0749689586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, shared by 15 NPIs, 3,433 clinicians

Practice addresses (Care Compare)

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-7355

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group CurrentSince Jul 25, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Jun 13, 2021 Accepting new patients
University of Penn-Medical Group Single Specialty Current Accepting new patients
University of Penn - Medical Group Single Specialty CurrentSince Jun 13, 2021 Accepting new patients

Locations

51 N 39th St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-9010

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

Organizations & group practices 4

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1962081026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 E ALLEN ST",
            "address_2": "UNIT 3",
            "city": "PHILADEPHIA",
            "state": "PA",
            "postal_code": "19125",
            "telephone_number": "570-898-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "11TH FLOOR SOUTH TOWER",
            "city": "PHILADEPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "570-898-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRITY",
        "first_name": "KATELYN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP023402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadephia, PA

Sources for this page

Verify at the official NPI Registry.