KATELYN GRACE MCCULLOUGH PA-C
NPI 1497649529
Physician Assistant in Anderson, IN

Q: What is Katelyn Mccullough's NPI number?

The NPI number for Katelyn Mccullough is 1497649529. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Q: What is Katelyn Mccullough's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since June 04, 2025PECOS Enrolled

2015 JACKSON ST, ANDERSON, IN 46016(765) 649-2511 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2025, Jun 4, 2025 (2 updates tracked since 2025).

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About Katelyn Grace Mccullough Pa-c NPPES

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

KATELYN GRACE MCCULLOUGH PA-C (NPI 1497649529) is an individual physician assistant in Anderson, Indiana, licensed in Indiana (10004890A) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1497649529

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATELYN GRACE MCCULLOUGHCredential: PA-C

Location Address2015 JACKSON STAnderson, IN 46016-4337

Mailing Address11200 Slade Ave Apt 201Carmel, IN 46032-9083 · (419) 450-8876

Phone(765) 649-2511

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 4, 2025

Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1497649529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10004890A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2015 JACKSON ST, Anderson, IN 46016

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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 Grace Mccullough Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436667110

PECOS Enrollment IDI20250804002828

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 46016 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 20

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

ST.VINCENT ANDERSON REGIONAL HOSPITAL

Emergency Medicine