Individual provider Active NPI

Erin Chesnavich, PA-C

  • Physician Assistant
  • Pittston, PA
National Provider Identifier
1114270154
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055795 Issued in PA
Practice address
42 N Main St
Pittston, PA 18640-1916
Phone
(570) 602-5610
NPI assigned
Oct 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA055795 PA
Physician Assistant 363A00000X MA055795 PA Primary

Addresses

Primary practice location

42 N Main St
Pittston, PA 18640-1916

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address echesnavich301309@direct.geisinger.edu Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121113000086 PA Practitioner - Physician Assistant 9133370547 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

1155 E Mountain Blvd
Wilkes Barre, PA 18702-7906
Phone (570) 808-5135

1175 E Mountain Blvd
Suite 150723
Wilkes Barre, PA 18702-7906
Phone (570) 808-1093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA055795PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital Monroe Campus CurrentSince Nov 20, 2017 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Nov 20, 2017 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Feb 20, 2017 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Nov 9, 2020 Accepting new patients
St Luke'S Hospital CurrentSince Feb 20, 2017 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Feb 20, 2017 Accepting new patients
Geisinger Clinic CurrentSince Nov 9, 2020 Accepting new patients
St Luke'S Hospital CurrentSince Feb 20, 2017 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. CurrentSince Feb 20, 2017 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Feb 20, 2017 Accepting new patients
St. Luke'S Hosptial CurrentSince Feb 20, 2017 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Feb 20, 2017 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178

100 N Academy Ave
Danville, PA 17822

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161

128 E Main St
Nanticoke, PA 18634
Phone (570) 258-1304

1201 Oak St
Pittston, PA 18640
Phone (570) 808-9800

42 N Main St
Pittston, PA 18640
Phone (570) 602-5610

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

1020 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2290

631 Northern Blvd
South Abington Township, PA 18411
Phone (570) 340-6920

809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700

10 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 836-2273

35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: echesnavich301309@direct.geisinger.edu
  • Direct secure messaging: erin.chesnavich@slpg.direct-sluhn.org

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1114270154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N MAIN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401916",
            "telephone_number": "570-602-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESNAVICH",
        "first_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055795",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "echesnavich301309@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "42 N Main St",
            "city": "Pittston",
            "state": "PA",
            "country_code": "US",
            "postal_code": "186401916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

Verify at the official NPI Registry.