KATELYN ANN NIEBAUER CRNP
NPI 1235965344
Nurse Practitioner - Primary Care in Johnstown, PA

Q: What is Katelyn Niebauer's NPI number?

The NPI number for Katelyn Niebauer is 1235965344. It was assigned to this individual provider in the NPPES registry on September 13, 2024.

Q: What is Katelyn Niebauer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Niebauer was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since September 13, 2024PECOS Enrolled

1415 EISENHOWER BLVD, JOHNSTOWN, PA 15904(814) 616-2014 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Katelyn Ann Niebauer Crnp NPPES

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

KATELYN ANN NIEBAUER CRNP (NPI 1235965344) is an individual primary care provider in Johnstown, Pennsylvania, licensed in Pennsylvania (SP030032) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235965344

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameKATELYN ANN NIEBAUERCredential: CRNP

Location Address1415 EISENHOWER BLVDJohnstown, PA 15904-3217

Mailing Address216 Hogue RdEbensburg, PA 15931-6322

Phone(814) 616-2014

Sole ProprietorNo

Enumeration DateSeptember 13, 2024

NPPES CertifiedSeptember 13, 2024

✔ NPI 1235965344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in PA · SP030032

1415 EISENHOWER BLVD, Johnstown, PA 15904

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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 Ann Niebauer Crnp 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 15904 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 11

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

LORI BETH CLAYCOMB CRNP

Nurse Practitioner (Family)