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KATHERINE MARIE BOEHM NP
NPI 1174269781
Nurse Practitioner - Family in State College, PA

Active since May 06, 2022PECOS Enrolled
330 INNOVATION BLVD FL 2, STATE COLLEGE, PA 16803(888) 731-8994 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 12, 2026, Sep 10, 2025, May 6, 2022 (3 updates tracked since 2022).

About Katherine Marie Boehm Np NPPES

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

KATHERINE MARIE BOEHM NP (NPI 1174269781) is an individual family provider in State College, Pennsylvania, licensed in Pennsylvania (SP025581) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174269781
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE MARIE BOEHMCredential: NP
Location Address330 INNOVATION BLVD FL 2State College, PA 16803-6611
Mailing Address330 Innovation Blvd Fl 2State College, PA 16803-6611 · (888) 731-8994
Phone(888) 731-8994
Sole ProprietorNo
Enumeration DateMay 6, 2022
Last NPPES UpdateMay 12, 20263 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1174269781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP025581
330 INNOVATION BLVD FL 2, State College, PA 16803
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Marie Boehm Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Boehm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Outreach Wellness Center
116 mi
Internal Medicine
127 ANDERSON ST
Pittsburgh, PA 15212
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 45 clinicians in this Medicare group
NPI 1063804136 (412) 608-8313

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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 6

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

RESHAY DANIELLE GILES-MITCHELL CRNP
Nurse Practitioner (Family)
330 INNOVATION BLVD FL 2
STATE COLLEGE, PA 16803
Centre County (888) 731-8994
BALANCED WELLBEING NATIONWIDE PA
Psychiatry & Neurology (Psychiatry)
330 INNOVATION BLVD FL 2
STATE COLLEGE, PA 16803
Centre County (877) 779-2429
JODI L KNEISLY CRNP
Nurse Practitioner (Gerontology)
330 INNOVATION BLVD FL 2
STATE COLLEGE, PA 16803
Centre County (888) 731-8994
ALYSON NICOLE ONDER OTR/L
Occupational Therapist
330 INNOVATION BLVD FL 2
STATE COLLEGE, PA 16803
Centre County (814) 880-1958
JENNIFER R AMOUR CRNP
Nurse Practitioner (Primary Care)
330 INNOVATION BLVD FL 2
STATE COLLEGE, PA 16803
Centre County (888) 731-8994
KANNIKA M OSBORNE WHNP
Nurse Practitioner (Women's Health)
330 INNOVATION BLVD FL 2
STATE COLLEGE, PA 16803
Centre County (888) 731-8994

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 Katherine Boehm's NPI number?

The NPI number for Katherine Boehm is 1174269781. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Where is Katherine Boehm located?

Katherine Boehm practices at 330 Innovation Blvd Fl 2, State College, PA 16803. The listed phone number is (888) 731-8994.

What is Katherine Boehm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katherine Boehm enrolled in Medicare?

Yes. Katherine Boehm is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Boehm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Boehm reassigns Medicare benefits to Central Outreach Wellness Center (Pittsburgh, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Boehm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Boehm was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.