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KATELYN CLANCY CRNP
NPI 1790183945
Nurse Practitioner - Gerontology in Philadelphia, PA

Active since December 19, 2014PECOS EnrolledAccepts Medicare Assignment
925 CHESTNUT STREET, SUITE 320A, PHILADELPHIA, PA 19107(215) 955-8874 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelyn Clancy Crnp NPPES

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

KATELYN CLANCY CRNP (NPI 1790183945) is an individual gerontology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP014629) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1790183945
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKATELYN CLANCYCredential: CRNP
Location Address925 CHESTNUT STREET, SUITE 320APhiladelphia, PA 19107
Mailing Address925 Chestnut Street, Suite 320aPhiladelphia, PA 19107-4824
Phone(215) 955-8874
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 19, 2014
Last NPPES UpdateMay 21, 2018
✔ NPI 1790183945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SP014629
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License SP014629 (PA)
925 CHESTNUT STREET, Philadelphia, PA 19107
Open in Google Maps ↗

Other Names 1

Former Name (1)Katelyn Frain

Secondary Practice Location 1

Location 1111 S 11th StPhiladelphia, PA 19107-4824 · Phone (215) 955-7038

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 Clancy Crnp 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 ID1759688369
PECOS Enrollment IDI20180626003532
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

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 18

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

JOSEPH N TROPEA DO
Internal Medicine (Hematology & Oncology)
925 CHESTNUT STREET, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8874
MS. ALEXANDRA DEANNE COSTLOW AUD
Audiologist-Hearing Aid Fitter
925 CHESTNUT STREET, 6TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6760
DR. EDMUND A. PRIBITKIN M.D.
Otolaryngology
925 CHESTNUT STREET, 6TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6760
DREW JOHNSON
Internal Medicine (Cardiovascular Disease)
925 CHESTNUT STREET, MEZZANINE
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050
MS. LISA J KEARNS CRNP
Nurse Practitioner (Adult Health)
925 CHESTNUT STREET, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8874
MADHAVAN V. PILLAI M.D.
Internal Medicine (Medical Oncology)
925 CHESTNUT STREET, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8874
J. EDUARDO RAME MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
925 CHESTNUT STREET, MEZZANINE
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050
EUGENE STOROZYNSKY MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
925 CHESTNUT STREET, MEZZANINE
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2050

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 Clancy's NPI number?

The NPI number for Katelyn Clancy is 1790183945. It was assigned to this individual provider in the NPPES registry on December 19, 2014. The provider is also known as Katelyn Frain.

Where is Katelyn Clancy located?

Katelyn Clancy practices at 925 Chestnut Street Suite 320A, Philadelphia, PA 19107. The listed phone number is (215) 955-8874.

What is Katelyn Clancy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Katelyn Clancy enrolled in Medicare?

Yes. Katelyn Clancy 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.

Is Katelyn Clancy affiliated with any hospitals?

According to CMS data, Katelyn Clancy is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Katelyn Clancy was last updated on May 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.