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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Lifeline Medical Center
362 mi
Family Medicine
2101 JACKSON ST STE 109
Anderson, IN 46016
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 29 clinicians in this Medicare group
NPI 1265160451 (814) 408-0014

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 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 12

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

LORI BETH CLAYCOMB CRNP
Nurse Practitioner (Family)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 615-2014
LIFELINE MEDICAL, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 243-0414
42 NORTH DENTAL CARE LLC
Clinic/Center (Dental)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 269-3627
HANNAH R SPRINCZ
Nurse Practitioner (Psychiatric/Mental Health)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 915-4539
ZACHARY RYAN NOLAN CRNP
Nurse Practitioner (Family)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 615-2014
LIFELINE PHARMACON
Nurse Practitioner (Psychiatric/Mental Health)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 619-5068
DR. DANIEL J LUTHER DDS, PHD
Dentist (General Practice)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 269-3629
CHRYSTAL LYNN MAUST CRNP
Family Medicine
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Cambria County (814) 270-6812

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 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.

Where is Katelyn Niebauer located?

Katelyn Niebauer practices at 1415 Eisenhower Blvd, Johnstown, PA 15904. The listed phone number is (814) 616-2014.

What is Katelyn Niebauer's specialty?

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

Is Katelyn Niebauer enrolled in Medicare?

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

Which organization bills Medicare for Katelyn Niebauer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Niebauer reassigns Medicare benefits to Lifeline Medical Center (Anderson, IN). 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 Katelyn Niebauer'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 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 2 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.