Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katelyn Michelle Rudolph, PA-C

Individual provider Internal Medicine Physician · NPI 1245059906

Katelyn Michelle Rudolph, PA-C is a Physician Assistant in Geneva, Ohio. Qualified in 2024, 2 years ago. Practices with Lake Hospital System, Inc, a 94-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

890 W Main St Ste 103
Geneva, OH 44041-1237
Phone: (440) 466-4641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 50.009087RX (OH)

Record details

NPI number1245059906
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 8, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lake Hospital System, Inc. — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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