Organization Active NPI

Pleasant Valley Family Medicine P.C.

  • Family Medicine Physician
  • Lock Haven, PA
National Provider Identifier
1316971815
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PLEASANT VALLEY FAMILY MEDICINE P.C.
Practice address
401 High St
Lock Haven, PA 17745-3013
Phone
(570) 748-7400
Fax
(570) 748-8004
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Authorized official

Name
Dr. Mary E Piergallini, M.D.NPI 1326018607
Title
Owner
Phone
(570) 748-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

401 High St
Lock Haven, PA 17745-3013

Mailing address

401 High St
Lock Haven, PA 17745-3013
Phone (570) 748-7400

Other identifiers 1

IdentifierTypeStateIssuer
0019525750001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drpiergallini@pvmed.medentdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050414000345 PA Part B Supplier - Clinic/Group Practice 0345287058 Receives reassigned benefits from 1 practitioner
Practice locations: Lock Haven, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1012828Pleasant Valley Family Medicine401 High Street, Lock Haven, PA 17745Provider-performed microscopyMay 21, 2027

National Provider Directory

National Provider Directory

Locations

208 E Church St
Ste 100
Lock Haven, PA 17745
Phone (570) 748-7400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1316971815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HIGH ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453013",
            "telephone_number": "570-748-7400",
            "fax_number": "570-748-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HIGH ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453013",
            "telephone_number": "570-748-7400",
            "fax_number": "570-748-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY FAMILY MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "PIERGALLINI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-748-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019525750001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drpiergallini@pvmed.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 High St",
            "city": "Lock Haven",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177453013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lock Haven, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.