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

MS. Katie Bettyjean Ulrich, MMS, PA-C

Individual provider Physician Assistant · NPI 1588175491

MS. Katie Bettyjean Ulrich, MMS, PA-C is a Physician Assistant in Temple, Pennsylvania. Qualified in 2017, 9 years ago. Practices with St Joseph Medical Group, a 188-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
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

4301 5th Street Hwy Ste 100
Temple, PA 19560-1739
Phone: (610) 208-8800
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA059430 (PA)

Record details

NPI number1588175491
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2017
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Joseph Medical Group — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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