KATHERINE A KUDRICK (PA-C) – Physician Assistant, NPI 1053700450

KATHERINE A KUDRICK (PA-C) is a healthcare provider. based in Selinsgrove, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. OA003504 (PA). The NPI Number for KATHERINE A KUDRICK (PA-C) is 1053700450

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE A KUDRICK (PA-C)
NPI
1053700450
Phone
(570) 372-6102
Address
935 Route 522
Enumeration Date
22 January 2015
Last Update Date
22 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
4183949894
Group Practice PAC ID
9133033087
Professional Enrollment ID
I20150220000327
Address ID
PA178376864LE7095XHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:11State licenses:2Digital endpointsOther names

9,738 PHYSICIAN ASSISTANT in PA

Provider Addresses for KATHERINE A KUDRICK (PA-C)

  • 935 Route 522

    Selinsgrove, PA 178709714

    Phone: (570) 372-6102

    Type: Location

  • 101 Meadow Green Dr

    Mifflinburg, PA 178449300

    Phone: (570) 966-1122

    Type: Location

  • 98 Reitz Blvd

    Lewisburg, PA 178379270

    Phone: (570) 524-4443

    Type: Location

  • 7055 Westbranch Hwy

    Lewisburg, PA 178376808

    Phone: (570) 524-4141

    Type: Location

  • 601 MEMORY LN

    YORK, PA 174022231

    Phone: (717) 851-1405

    Type: Mailing

  • 7095 WESTBRANCH HIGHWAY

    SUITE 1100

    LEWISBURG, PA 178376808

    Phone: (570) 524-5050

    Fax: (570) 524-5250

    Type: Location

  • 1 HOSPITAL DR

    SUITE 306

    LEWISBURG, PA 178379350

    Phone: (570) 522-4144

    Fax: (570) 768-3911

    Type: Mailing

  • 964 Carpenter Rd

    Milton, PA 178477527

    Phone: (570) 742-2300

    Type: Location

  • 7095 Westbranch Hwy Ste 1000

    Lewisburg, PA 178376864

    Phone: (570) 523-3006

    Type: Location

  • 112 Ironstone Dr

    Northumberland, PA 178578543

    Phone: (570) 473-0545

    Type: Location

  • 3 Hospital Dr Ste 214

    Lewisburg, PA 178379394

    Phone: (570) 542-4242

    Type: Location

  • 412 W Market St

    Middleburg, PA 178421076

    Phone: (570) 837-6163

    Type: Location

  • 7095 WESTBRANCH HWY STE 1100

    LEWISBURG, PA 178376864

    Phone: (570) 524-5050

    Fax: (570) 524-5250

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $835.

Total Amount is formed as General ($835) + Research ($0) + Ownership ($0) = $835.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($136).

Total Amount

$835

General + Research + Ownership

Payments

44

Total payment records

General Amount

$835

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-02-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150220000327IPhysician AssistantPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes14493$0
99213Established patient office or other outpatient visit, 20-29 minutes135106$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5151$0
G0009Administration of pneumococcal vaccine2828$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use2727$0
View full utilization report →

Insurance plans in this area (ZIP 17870)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133033087View full group profile
NameSpecialtyState
Orthopedic SurgeryPA
Certified Registered Nurse Anesthetist (Crna)PA
N E U R O L O G YPA
Qualified AudiologistPA
Certified Registered Nurse Anesthetist (Crna)PA
Cardiovascular Disease (Cardiology)PA
-PA
-PA
Physician AssistantPA
Orthopedic SurgeryPA

Reviews

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Frequently asked questions

How do payers reference KATHERINE A KUDRICK (PA-C)?
For KATHERINE A KUDRICK (PA-C), use NPI 1053700450 as the unique 10-digit identifier.
Would KATHERINE A KUDRICK (PA-C) appear as active to a payer?
You can treat KATHERINE A KUDRICK (PA-C) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KATHERINE A KUDRICK (PA-C)?
KATHERINE A KUDRICK (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KATHERINE A KUDRICK (PA-C) associated with Selinsgrove?
Public fields place KATHERINE A KUDRICK (PA-C) around Selinsgrove, Pennsylvania. Always confirm the exact site before visiting.
Can I trust this NPI listing for KATHERINE A KUDRICK (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.