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KATELYN CLARK
NPI 1972165496
Physician Assistant - Medical in Altoona, PA

Active since July 04, 2019PECOS EnrolledAccepts Medicare Assignment
46.78/100
CMS Quality Rating
800 HOWARD AVE STE 1, ALTOONA, PA 16601(814) 889-2708 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2023, May 24, 2021, Jul 4, 2019 (3 updates tracked since 2019).

About Katelyn Clark NPPES

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

KATELYN CLARK (NPI 1972165496) is an individual medical provider in Altoona, Pennsylvania, licensed in Pennsylvania (MA060775) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Conemaugh Nason Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972165496
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATELYN CLARK
Location Address800 HOWARD AVE STE 1Altoona, PA 16601-4728
Mailing Address107 Forest StGallitzin, PA 16641-1115
Phone(814) 889-2708
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 4, 2019
Last NPPES UpdateMarch 14, 20233 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1972165496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA060775
800 HOWARD AVE STE 1, Altoona, PA 16601
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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 and accepts Medicare assignment

Katelyn Clark 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 ID3476881566
PECOS Enrollment IDI20190828000579
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390062
Location105 Nason DriveRoaring Spring, PA 16673 · Blair County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Conemaugh Miners Medical Center

Critical Access Hospitals · Hastings, PA
OwnershipProprietary
CMS Certification Number391317
Location290 Haida AvenueHastings, PA 16646 · Cambria County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

46.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality17.39
Improvement Activities40
Cost51.45

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$6.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

KAYLEIGH SMITH CRNP
Nurse Practitioner (Family)
800 HOWARD AVE STE 1
ALTOONA, PA 16601
Blair County (814) 889-2708

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 Clark's NPI number?

The NPI number for Katelyn Clark is 1972165496. It was assigned to this individual provider in the NPPES registry on July 4, 2019.

Where is Katelyn Clark located?

Katelyn Clark practices at 800 Howard Ave Ste 1, Altoona, PA 16601. The listed phone number is (814) 889-2708.

What is Katelyn Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katelyn Clark enrolled in Medicare?

Yes. Katelyn Clark 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 Clark affiliated with any hospitals?

According to CMS data, Katelyn Clark is affiliated with Conemaugh Nason Medical Center, Upmc Altoona, Upmc Bedford Memorial and Conemaugh Miners Medical Center.

When was this NPI record last updated?

The NPPES record for Katelyn Clark was last updated on March 14, 2023. 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.