KATELYN MCKIBBEN
NPI 1770453789
Nurse Practitioner - Psychiatric/Mental Health in Sheakleyville, PA

Q: What is Katelyn Mckibben's NPI number?

The NPI number for Katelyn Mckibben is 1770453789. It was assigned to this individual provider in the NPPES registry on November 6, 2025.

Q: What is Katelyn Mckibben's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Mckibben was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 06, 2025PECOS Enrolled

3339 PERRY HIGHWAY, SHEAKLEYVILLE, PA 16151(724) 253-3428(724) 253-3029 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 17, 2026, Jan 8, 2026, Nov 24, 2025 and 1 more (4 updates tracked since 2025).

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About Katelyn Mckibben NPPES

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

KATELYN MCKIBBEN (NPI 1770453789) is an individual psychiatric/mental health provider in Sheakleyville, Pennsylvania, licensed in Pennsylvania (SP034588) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hadley, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770453789

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKATELYN MCKIBBEN

Location Address3339 PERRY HIGHWAYSheakleyville, PA 16151

Mailing Address100 Shenango AveSharon, PA 16146-1503 · (724) 253-3428 · Fax (724) 253-3029

Phone(724) 253-3428

Fax(724) 253-3029

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 6, 2025

Last NPPES UpdateApril 17, 20264 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1770453789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in PA · SP034588

3339 PERRY HIGHWAY, Sheakleyville, PA 16151

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Secondary Practice Location 1

Location 13330 Perry HwyHadley, PA 16130-2316 · Phone (814) 230-7921

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Mckibben is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618461054

PECOS Enrollment IDI20251211004305

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 Mckibben reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Health Network

9.4 mi

Federally Qualified Health Center (FQHC)

348 MAIN ST
Greenville, PA 16125

Reassigned Medicare billing, Pennsylvania enrollment
164 clinicians in this Medicare group

NPI 1093946626 (724) 588-5250

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 16151 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 3

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

PRIMARY HEALTH NETWORK

Clinic/Center (Federally Qualified Health Center (FQHC))

3339 PERRY HIGHWAY
SHEAKLEYVILLE, PA 16151

Mercer County (724) 253-3428

JAMIE LYNN WOODS NP-C

Nurse Practitioner (Family)

3339 PERRY HIGHWAY
SHEAKLEYVILLE, PA 16151

Mercer County (724) 253-3428

JILL ANNE RODGERS FNP

Nurse Practitioner (Psychiatric/Mental Health)

3339 PERRY HIGHWAY
SHEAKLEYVILLE, PA 16151

Mercer County (724) 253-3428

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 Mckibben's NPI number?

The NPI number for Katelyn Mckibben is 1770453789. It was assigned to this individual provider in the NPPES registry on November 6, 2025.

Where is Katelyn Mckibben located?

Katelyn Mckibben practices at 3339 Perry Highway, Sheakleyville, PA 16151. The listed phone number is (724) 253-3428.

What is Katelyn Mckibben's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Katelyn Mckibben enrolled in Medicare?

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

Which organization bills Medicare for Katelyn Mckibben's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Mckibben reassigns Medicare benefits to Primary Health Network (Greenville, PA). 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 Mckibben's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Mckibben accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and CareSource list Katelyn Mckibben 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.

When was this NPI record last updated?

The NPPES record for Katelyn Mckibben was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.