NPIMap

Individual provider Active NPI

Katelyn Clark

  • Medical Physician Assistant
  • Altoona, PA
National Provider Identifier
1972165496
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060775 Issued in PA
Practice address
800 Howard Ave Ste 1
Altoona, PA 16601-4728
Phone
(814) 889-2708
NPI assigned
Jul 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA060775 PA Primary

Addresses

Primary practice location

800 Howard Ave Ste 1
Altoona, PA 16601-4728

Mailing address

107 Forest St
Gallitzin, PA 16641-1115

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kclark60734@upmc.direct-ci.com

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
I20190828000579 PA Practitioner - Physician Assistant 3476881566 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hematology Oncology AssociationGroup PAC ID 2860413002, 76 clinicians

Practice addresses (Care Compare)

200 Village Dr
Greensburg, PA 15601-3783
Phone (724) 838-1900

800 Howard Ave
Suite 1
Altoona, PA 16601-4728
Phone (814) 889-2708

Hospital & facility affiliations

  • Upmc Altoona Hospital, Altoona, PA, CCN 390073
  • Conemaugh Nason Medical Center Hospital, Roaring Spring, PA, CCN 390062
  • Conemaugh Miners Medical Center Hospital, Hastings, PA, CCN 391317
  • Upmc Bedford Memorial Hospital, Everett, PA, CCN 390117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA060775PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Hematology Oncology Association CurrentSince Apr 1, 2023 Accepting new patients
Upmc Altoona CurrentSince Jul 10, 2019 Accepting new patients
Upmc Altoona CurrentSince Jul 10, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

800 Howard Ave
Ste 1
Altoona, PA 16601
Phone (814) 889-2708

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

200 Village Dr
Greensburg, PA 15601
Phone (412) 469-5500

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: upmchospitals@upmcdirect.com
  • Direct secure messaging: kclark60734@upmc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1972165496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FOREST ST",
            "city": "GALLITZIN",
            "state": "PA",
            "postal_code": "166411115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOWARD AVE STE 1",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014728",
            "telephone_number": "814-889-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-04",
        "last_updated": "2026-09-01",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kclark60734@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.