Katherine Marie Boehm, NP in State College, PA

Katherine Marie Boehm, NP is a medicare enrolled "Nurse Practitioner - Family" in State College, Pennsylvania. Her current practice location is 330 Innovation Blvd Fl 2, State College, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (888) 731-8994.

Katherine Marie Boehm is licensed to practice in Pennsylvania (license number SP025581) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174269781.

Contact Information

	Katherine Marie Boehm, NP
	330 Innovation Blvd Fl 2, State College, PA 16803-6611
	(888) 731-8994
	Not Available

Map and Direction

Provider's Profile

Full Name	Katherine Marie Boehm
Gender	Female
Speciality	Nurse Practitioner - Family
Location	330 Innovation Blvd Fl 2, State College, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174269781
Provider Enumeration Date: 05/06/2022
Last Update Date: 05/12/2026

Medicare PECOS Information:

PECOS PAC ID: 2365800232
Enrollment ID: I20230626000452

Medical Identifiers

Medical identifiers for Katherine Marie Boehm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174269781	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP025581 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katherine Marie Boehm allows following entities to bill medicare on her behalf.

Entity Name	Central Outreach Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063804136 PECOS PAC ID: 6507186772 Enrollment ID: O20150529000928

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Marie Boehm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katherine Marie Boehm, NP 330 Innovation Blvd Fl 2, State College, PA 16803-6611 Ph: (888) 731-8994	Katherine Marie Boehm, NP 330 Innovation Blvd Fl 2, State College, PA 16803-6611 Ph: (888) 731-8994

Reviews and Comments

Nurse Practitioner Nurses in State College, PA

Reshay Danielle Giles-mitchell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Innovation Blvd Fl 2, State College, PA 16803 Phone: 888-731-8994
Melissa Ann Wallace, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 University Dr, State College, PA 16801 Phone: 814-238-8418 Fax: 814-234-2888
Katy Nelson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 476 Rolling Ridge Dr, State College, PA 16801 Phone: 814-689-4980
Kimberly Anne Handel, MSN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 E Park Ave, Suite 310, State College, PA 16803 Phone: 814-863-8492
Melissa Kulbis, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Innovation Blvd, State College, PA 16803 Phone: 877-779-2429
Megan Waite, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000
Michelle M. Black, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Radnor Rd Ste 100, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169

Katherine Marie Boehm, NP - Medicare Nurse Practitioner in State College, PA