Individual provider Active NPI

Lydia Angelique Travnik, D.O.

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1396006607
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT014464 Issued in PA
Practice address
4247 W Ridge Rd Ste 105
Erie, PA 16506-1746
Phone
(814) 838-2468
Fax
(814) 835-2599
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS18129 FL
Family Medicine Physician 207Q00000X 0102209153 VA
Family Medicine Physician 207Q00000X 02008352A IN
Family Medicine Physician 207Q00000X OT014464 PA Primary

Addresses

Primary practice location

4247 W Ridge Rd Ste 105
Erie, PA 16506-1746

Mailing address

4247 W Ridge Rd Ste 105
Erie, PA 16506-1746
Phone (814) 838-2468

Other practice location 1

1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 812-7000

Other practice location 2

52 Underwood St
Orlando, FL 32806-1110
Phone (888) 805-0085

Other practice location 3

1300 Sentara Park # 3
Virginia Beach, VA 23464-5884
Phone (757) 252-3050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ltravnik148962@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, CA, MN, LA, FL, MS7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20160107002387 PA Practitioner - Family Practice 6800198896 Reassigns benefits to 2 organizations
I20230721001495 NY Practitioner - Family Practice 6800198896
I20250715002471 CA Practitioner - Family Practice 6800198896 Reassigns benefits to 1 organization
I20250910004389 MN Practitioner - Family Practice 6800198896 Reassigns benefits to 2 organizations
I20260108002696 LA Practitioner - Internal Medicine 6800198896 Reassigns benefits to 1 organization
I20260129000150 FL Practitioner - Family Practice 6800198896 Reassigns benefits to 4 organizations
I20260215000121 MS Practitioner - Internal Medicine 6800198896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 812-7000

1900 Centracare Cir
Saint Cloud, MN 56303-5000
Phone (320) 654-3630

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (866) 603-0016

355 Abbott St
Suite 100
Salinas, CA 93901-4484
Phone (831) 751-7070

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS18129FLMDEmergency Medicine Physician
02008352AINMDFamily Medicine Physician
OT014464PAMDFamily Medicine Physician
0102209153VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Mississippi, LLC CurrentSince Jan 7, 2026 Accepting new patients
Wellspan Medical Group CurrentSince Apr 12, 2024 Accepting new patients
Ucm Medical Group Sub, LLC Family Medicine CurrentSince Dec 22, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 17, 2025 Accepting new patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince Nov 21, 2015 Accepting new patients
Allina Health System Family Medicine Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jan 7, 2026 Accepting new patients
Centracare Clinic CurrentSince Oct 1, 2025 Accepting new patients
Allina Health System CurrentSince Sep 10, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Jun 11, 2023 Accepting new patients
Centracare Clinic CurrentSince Oct 1, 2025 Accepting new patients
Sentara Medical Group Family Medicine CurrentSince Jan 20, 2026 Accepting new patients
Wellspan Medical Group CurrentSince Apr 12, 2024 Accepting new patients
Svmhs Clinics CurrentSince Apr 18, 2025 Accepting new patients
Svmhs Clinics CurrentSince Apr 18, 2025 Accepting new patients
Centracare Clinic Current Accepting new patients
Allina Health System Family Medicine CurrentSince Sep 10, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 17, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Saint Vincent Medical Education and Research Institute Family Medicine Past Accepting new patients
Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group Family Medicine Past Accepting new patients
Saint Vincent Consultants in Cardiovascular Diseases Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations (25 of 29)

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

355 Abbott St
Ste 100
Salinas, CA 93901
Phone (831) 751-7070

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

27702 Network Pl
Chicago, IL 60673

1514 Jefferson Hwy
New Orleans, LA 70121

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122

28 Liberty St
New York, NY 10005
Phone (415) 205-1229

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

155 E State St
Albion, PA 16401
Phone (814) 756-4917

1910 Sassafras St
Ste 100
Erie, PA 16502
Phone (814) 452-5772

145 W 23rd St
Ste 305
Erie, PA 16502

2314 Sassafras St
Ste 2
Erie, PA 16502
Phone (814) 452-5105

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

4247 W Ridge Rd
Ste 105
Erie, PA 16506
Phone (814) 453-7767

1600 S George St
York, PA 17403
Phone (717) 848-3615

Organizations & group practices 28

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 28

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776556800000",
    "number": "1396006607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 W RIDGE RD STE 105",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061746",
            "telephone_number": "814-838-2468",
            "fax_number": "814-835-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 W RIDGE RD STE 105",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061746",
            "telephone_number": "814-838-2468",
            "fax_number": "814-835-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174042244",
            "country_code": "US",
            "telephone_number": "717-812-7000",
            "fax_number": "717-553-1269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "888-805-0085",
            "fax_number": "312-896-7623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Sentara Park # 3",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234645884",
            "country_code": "US",
            "telephone_number": "757-252-3050",
            "fax_number": "757-222-3106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVNIK",
        "first_name": "LYDIA",
        "middle_name": "ANGELIQUE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS18129",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102209153",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02008352A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT014464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltravnik148962@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4247 W Ridge Rd Ste 105",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165061746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.