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KATELYN MICHELLE RUDOLPH PA-C
NPI 1245059906
Internal Medicine in Geneva, OH

Active since October 08, 2024PECOS EnrolledAccepts Medicare Assignment
890 W MAIN ST STE 103, GENEVA, OH 44041(440) 466-4641 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katelyn Michelle Rudolph Pa-c NPPES

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

KATELYN MICHELLE RUDOLPH PA-C (NPI 1245059906) is an individual internal medicine provider in Geneva, Ohio, licensed in Ohio (50.009087RX) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1245059906
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKATELYN MICHELLE RUDOLPHCredential: PA-C
Location Address890 W MAIN ST STE 103Geneva, OH 44041-1237
Mailing Address6230 Maxwell DrMadison, OH 44057-2011 · (910) 320-1406
Phone(440) 466-4641
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 8, 2024
NPPES CertifiedOctober 8, 2024
✔ NPI 1245059906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 50.009087RX
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
890 W MAIN ST STE 103, Geneva, OH 44041
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelyn Michelle Rudolph Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698204527
PECOS Enrollment IDI20250122002786
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44041 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER
Clinic/Center (Rural Health)
890 W MAIN ST STE 103
GENEVA, OH 44041
Ashtabula County (440) 466-4641

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 Rudolph's NPI number?

The NPI number for Katelyn Rudolph is 1245059906. It was assigned to this individual provider in the NPPES registry on October 8, 2024.

Where is Katelyn Rudolph located?

Katelyn Rudolph practices at 890 W Main St Ste 103, Geneva, OH 44041. The listed phone number is (440) 466-4641.

What is Katelyn Rudolph's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Katelyn Rudolph enrolled in Medicare?

Yes. Katelyn Rudolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katelyn Rudolph accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Katelyn Rudolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Katelyn Rudolph affiliated with any hospitals?

According to CMS data, Katelyn Rudolph is affiliated with Uh Regional Hospitals, Lake Health and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Katelyn Rudolph was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.