Katelyn Black
NPI 1104298306 · Physician Assistant · Everett, PA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Katelyn Black is a Physician Assistant provider in Everett, PA (NPI 1104298306).
Provider details
- NPI number
- 1104298306
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- MA057785 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-10-27
- Last updated
- 2021-03-25
Frequently asked questions
- What is Katelyn Black's NPI number?
- Katelyn Black's National Provider Identifier (NPI) is 1104298306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katelyn Black's specialty?
- Katelyn Black is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Katelyn Black located?
- Katelyn Black's practice location on file with NPPES is 10455 Lincoln Hwy, Everett, PA 15537-7046.
- What is Katelyn Black's phone number?
- The practice phone number listed in the NPPES registry for Katelyn Black is (814) 623-6161.
- Does Katelyn Black accept Medicare?
- Katelyn Black is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Katelyn Black's NPI active?
- Yes — Katelyn Black's NPI (1104298306) is active in the NPPES registry as of the last update on 2021-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.