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KATELYN BLACK
NPI 1104298306
Physician Assistant in Everett, PA

Active since October 27, 2015PECOS Enrolled
10455 LINCOLN HWY, EVERETT, PA 15537(814) 623-6161 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katelyn Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN BLACK (NPI 1104298306) is an individual physician assistant in Everett, Pennsylvania, licensed in Pennsylvania (MA057785) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104298306
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATELYN BLACK
Location Address10455 LINCOLN HWYEverett, PA 15537-7046
Mailing Address101 Carson Heights DrDuncansville, PA 16635-6547
Phone(814) 623-6161
Sole ProprietorNo
Enumeration DateOctober 27, 2015
Last NPPES UpdateMarch 25, 2021
✔ NPI 1104298306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA057785
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10455 LINCOLN HWY, Everett, PA 15537
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Black is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15537 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALTOONA ENDOCRINE SERVICES LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10455 LINCOLN HWY, SPECIALTY SERVICES,
EVERETT, PA 15537
Bedford County (814) 623-3513
TRI COUNTY IMAGING ASSOC. LTD
Radiology (Diagnostic Radiology)
10455 LINCOLN HWY
EVERETT, PA 15537
Bedford County (814) 444-1918
DR. GEORGE EDWARD FLEMING JR. MD
Emergency Medicine
10455 LINCOLN HWY
EVERETT, PA 15537
Bedford County (814) 623-6161
MARK OHERRICK
Nurse Practitioner (Acute Care)
10455 LINCOLN HWY
EVERETT, PA 15537
Bedford County (814) 623-3500
NICHOLAS A CANUSO JR. MD
Anesthesiology
10455 LINCOLN HWY
EVERETT, PA 15537
Bedford County (814) 623-3524
JULIANNA ODESSA WERT
Speech-Language Pathologist
10455 LINCOLN HWY
EVERETT, PA 15537
Bedford County (814) 623-6161
ASHLEY DAWN RITCHEY
Occupational Therapy Assistant
10455 LINCOLN HWY
EVERETT, PA 15537
Bedford County (814) 623-6161
UPMC BEDFORD MEMORIAL
Emergency Medicine
10455 LINCOLN HWY
EVERETT, PA 15537
Bedford County (814) 623-6161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Black's NPI number?

The NPI number for Katelyn Black is 1104298306. It was assigned to this individual provider in the NPPES registry on October 27, 2015.

Where is Katelyn Black located?

Katelyn Black practices at 10455 Lincoln Hwy, Everett, PA 15537. The listed phone number is (814) 623-6161.

What is Katelyn Black's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katelyn Black enrolled in Medicare?

Yes. Katelyn Black is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katelyn Black was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.