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MRS. KATELYN CLARKE NURSE PRACTITIONER
NPI 1487366704
Nurse Practitioner - Family in Johnson City, NY

Active since December 19, 2022PECOS Enrolled
355 MAIN ST, JOHNSON CITY, NY 13790(607) 798-1602(607) 798-1605 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Katelyn Clarke Nurse Practitioner NPPES

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

MRS. KATELYN CLARKE NURSE PRACTITIONER (NPI 1487366704) is an individual family provider in Johnson City, New York, licensed in New York (F07220882) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487366704
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATELYN CLARKECredential: NURSE PRACTITIONER
Location Address355 MAIN STJohnson City, NY 13790-2050
Mailing Address355 Main StJohnson City, NY 13790-2050 · (607) 798-1602 · Fax (607) 798-1605
Phone(607) 798-1602
Fax(607) 798-1605
Sole ProprietorNo
Enumeration DateDecember 19, 2022
NPPES CertifiedDecember 19, 2022
✔ NPI 1487366704 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 NY · F07220882
355 MAIN ST, Johnson City, NY 13790
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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)

Mrs. Katelyn Clarke Nurse Practitioner 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 Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Comprehensive Womens Health Care By Dhruv Agneshwar MD PC
Same address
Obstetrics & Gynecology
355 MAIN ST
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group
NPI 1770689051 (607) 798-1602

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 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 3

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

GINA MARIE DARPINO FNP
Nurse Practitioner (Family)
355 MAIN ST
JOHNSON CITY, NY 13790
Broome County (607) 798-1602
DHRUV AGNESHWAR M.D
Obstetrics & Gynecology
355 MAIN ST
JOHNSON CITY, NY 13790
Broome County (607) 798-1602
COMPREHENSIVE WOMENS HEALTH CARE BY DHRUV AGNESHWAR MD PC
Obstetrics & Gynecology
355 MAIN ST
JOHNSON CITY, NY 13790
Broome County (607) 798-1602

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 Clarke's NPI number?

The NPI number for Katelyn Clarke is 1487366704. It was assigned to this individual provider in the NPPES registry on December 19, 2022.

Where is Katelyn Clarke located?

Katelyn Clarke practices at 355 Main St, Johnson City, NY 13790. The listed phone number is (607) 798-1602.

What is Katelyn Clarke's specialty?

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

Is Katelyn Clarke enrolled in Medicare?

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

Which organization bills Medicare for Katelyn Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Clarke reassigns Medicare benefits to Comprehensive Womens Health Care By Dhruv Agneshwar MD PC (Johnson City, NY). 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 Clarke'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 Clarke was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.