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Katelyn C Gouge , PA-C

Physician Assistant β€’ Columbus, OH

Active NPI 1336004498 Individual Practitioner Female Practitioner
Practice location in NPPES

111 S Grant Ave Ste 350
Columbus, OH 432154701

Call 6145669550 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

111 S Grant Ave Ste 350

Columbus, OH 432154701

Telephone 6145669550
Fax 6145668392

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Katelyn Gouge as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Columbus and Ohio

764 active clinicians are listed under Physician Assistant with a practice address in Columbus, OH (5,494 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

9.9% of these 764 clinicians have the CMS telehealth indicator.

63.7% of these 764 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-09-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.010083RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

37 listed
Christopher Ambrosino , CNP

Nurse Practitioner - Adult Health

NPI 1720395239

Certified Nurse Practitioner

Jennifer Balingcongan

Nurse Practitioner - Acute Care

NPI 1154675122
Christian Barill , PA

Physician Assistant

NPI 1619413192

Physician Assistant

Dr. Paul Beery , MD

Surgery - Surgical Critical Care

NPI 1508918319

Doctor of Medicine (M.D.)

Lauren Bood , PA

Physician Assistant

NPI 1306614516

Physician Assistant

Alicia Breece , PA-C

Physician Assistant

NPI 1477929669

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location September 23, 2026

Registered at 111 S GRANT AVE STE 350, COLUMBUS, OH 432154701 (Tel: 6145669550)

πŸ“
Updated Business Mailing Address September 23, 2026

Registered at PO BOX 7527, DUBLIN, OH 430170727

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2026

Physician Assistant (license number reported to NPPES: OH 50.010083RX)

πŸ“
Updated Practice Location January 26, 2026

Registered at 3535 OLENTANGY RIVER RD, COLUMBUS, OH 432143908 (Tel: 6145665000)

πŸ“
Updated Business Mailing Address January 26, 2026

Registered at 3535 OLENTANGY RIVER RD, COLUMBUS, OH 432143908

βœ…
NPI Profile Active December 22, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 22, 2025

Registered at 410 W 10TH AVE, COLUMBUS, OH 432101240 (Tel: 6142933333)

πŸ“
Business Mailing Address (Initial Record) December 22, 2025

Registered at 410 W 10TH AVE, COLUMBUS, OH 432101240

πŸ‘€
Provider Name / Credentials (Initial Record) December 22, 2025

Recorded as KATELYN GOUGE, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2025

Physician Assistant

🟒
Initial NPI Registration & Enumeration December 22, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336004498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2025
Last Update: September 23, 2026
Sole Proprietor: No

Other Physician Assistants in Columbus

All Physician Assistants in Columbus

Mailing Address

Po Box 7527

Dublin, OH 430170727

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.