KATHRYN JANICK (PA C) – Physician Assistant, NPI 1700818937

KATHRYN JANICK (PA C) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. MA051145 (PA). The NPI Number for KATHRYN JANICK (PA C) is 1700818937

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN JANICK (PA C)
NPI
1700818937
Phone
(215) 503-0137
Address
130 S 9TH ST
Enumeration Date
7 July 2006
Last Update Date
2 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2675709988
Graduation Year
2002 (24 years ago)
PAC ID
7618988304
Group Practice PAC ID
7719419480
Professional Enrollment ID
I20060509000711
Address ID
PA189663100SO57XXXRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for KATHRYN JANICK (PA C)

  • 130, South 9th Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States

    6TH FLOOR EDISON

    PHILADELPHIA, PA 191075233

    Phone: (215) 503-0137

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $237.

Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Ardelyx, Inc. ($41).

Total Amount

$237

General + Research + Ownership

Payments

12

Total payment records

General Amount

$237

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2006-05-09

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
I20060509000711IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19107)

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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: 7719419480View full group profile
NameSpecialtyState
Nurse PractitionerPA
Emergency Medicine, Family PracticeNJ
Physician AssistantPA

Reviews

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Frequently asked questions

What identifier follows KATHRYN JANICK (PA C) across health systems?
The NPI 1700818937 uniquely identifies KATHRYN JANICK (PA C) in U.S. healthcare data.
Quick check: is KATHRYN JANICK (PA C) active?
Public NPPES data shows KATHRYN JANICK (PA C) with an active NPI status right now.
What does the directory say KATHRYN JANICK (PA C) does?
Insurance directories may phrase it differently, but here KATHRYN JANICK (PA C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to KATHRYN JANICK (PA C)?
The directory associates KATHRYN JANICK (PA C) with Philadelphia, Pennsylvania. Check all listed addresses for suites or satellite offices.
Why is information missing for KATHRYN JANICK (PA C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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