Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHERINE BOOAN HARTZOG
NPI 1346100112
Advanced Practice Midwife in Roanoke, VA

Q: What is Katherine Hartzog's NPI number?

The NPI number for Katherine Hartzog is 1346100112. It was assigned to this individual provider in the NPPES registry on November 14, 2025.

Q: What is Katherine Hartzog's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Hartzog was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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 November 14, 2025PECOS Enrolled

102 HIGHLAND AVE SE STE 303, ROANOKE, VA 24013(540) 985-9715(540) 985-8487 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2026, Nov 14, 2025 (2 updates tracked since 2025).

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About Katherine Booan Hartzog NPPES

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

KATHERINE BOOAN HARTZOG (NPI 1346100112) is an individual advanced practice midwife in Roanoke, Virginia, licensed in Virginia (0024196292) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2025).

NPPES Registry Identity

NPI1346100112

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameKATHERINE BOOAN HARTZOG

Location Address102 HIGHLAND AVE SE STE 303Roanoke, VA 24013-2253

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5516

Phone(540) 985-9715

Fax(540) 985-8487

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2025

Enumeration DateNovember 14, 2025

Last NPPES UpdateJune 18, 20262 updates tracked since enumeration

NPPES CertifiedJune 18, 2026

✔ NPI 1346100112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in VA · 0024196292

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

102 HIGHLAND AVE SE STE 303, Roanoke, VA 24013

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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)

Katherine Booan Hartzog is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820563380

PECOS Enrollment IDI20260413000816

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 24013 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 7

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

LAUREN ELIZABETH NELSON MD

Obstetrics & Gynecology