Active NPI
Rachel Mary Hlavinka, CRNP
- Gerontology Nurse Practitioner
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP020769
- Practice address
- 801 Ostrum St
Bethlehem, PA 18015-1000 - Phone
- (610) 730-8025
- NPI assigned
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP020769 | PA | Primary |
Addresses
Primary practice location
801 Ostrum St
Bethlehem, PA 18015-1000
Mailing address
1261 Gaspar Ave
Bethlehem, PA 18017-1053
Phone (610) 730-8025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200205001780 | PA | Practitioner - Nurse Practitioner | 0042578015 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes Physician Group Inc
Practice addresses (Care Compare)
5325 Northgate Dr
203 St Luke'S Northgate Urology Associates
Bethlehem, PA 18017-9413
Phone (610) 867-3171
Hospital & facility affiliations
- St Lukes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP020769 | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gslpg, Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| Advanced Primary Care Associates | Past | Accepting new patients | |
| St. Luke'S Physician Group, Inc | Past | Accepting new patients |
Locations
3565 Route 611
Ste 300
Bartonsville, PA 18321
Phone (272) 212-0105
1521 8th Ave
Ste 201
Bethlehem, PA 18018
Phone (610) 882-2598
5325 Northgate Dr
Ste 203
Bethlehem, PA 18017
Phone (610) 867-3171
2200 St Lukes Blvd
Ste 230
Easton, PA 18045
Phone (484) 503-2500
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000
Interoperability endpoints
- rachel.hlavinka@slpg.direct-sluhn.org
- https://api.platform.athenahealth.com/16760/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Bethlehem, PA
- NPI 1629580428
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Cardiovascular Disease Physician
- Bethlehem, PA
- NPI 1912941568
-
- Obstetrics & Gynecology Physician
- Bethlehem, PA
- NPI 1447801535
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1013567346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1261 GASPAR AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180171053",
"telephone_number": "610-730-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 OSTRUM ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151000",
"telephone_number": "610-730-8025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HLAVINKA",
"first_name": "RACHEL",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP020769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.