KATELYN ANDERSON (PAC) – Physician Assistant, NPI 1154029312

KATELYN ANDERSON (PAC) is a healthcare provider. based in Reading, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. MA064378 (PA). The NPI Number for KATELYN ANDERSON (PAC) is 1154029312

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN ANDERSON (PAC)
NPI
1154029312
Phone
(484) 628-1324
Address
PO BOX 13579
Enumeration Date
17 February 2023
Last Update Date
17 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4846591520
Graduation Year
2022 (4 years ago)
PAC ID
3173996600
Group Practice PAC ID
2668716069
Professional Enrollment ID
I20230303002446
Address ID
PA196088601SI4860XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

Provider Addresses for KATELYN ANDERSON (PAC)

  • PO BOX 13579

    READING, PA 196123579

    Phone: (484) 628-1324

    Type: Mailing

  • 4860 PENN AVE

    SINKING SPRING, PA 196088601

    Phone: (484) 659-1520

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-03-03

PECOS data refreshed: 2026-05-27

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
I20230303002446IPhysician 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 minutes6060$0
99213Established patient office or other outpatient visit, 20-29 minutes5554$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
99203New patient office or other outpatient visit, 30-44 minutes3232$0
71046X-ray of chest, 2 views2423$0
View full utilization report →

Insurance plans in this area (ZIP 19612)

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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: 2668716069View full group profile

Reviews

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Frequently asked questions

Is KATELYN ANDERSON (PAC) listed with a National Provider Identifier?
Yes — KATELYN ANDERSON (PAC) has NPI 1154029312 on file in the registry.
Would KATELYN ANDERSON (PAC) appear as active to a payer?
You can treat KATELYN ANDERSON (PAC) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KATELYN ANDERSON (PAC)?
KATELYN ANDERSON (PAC)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with KATELYN ANDERSON (PAC)?
Directory geography for KATELYN ANDERSON (PAC) centers on Reading, Pennsylvania.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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