NPIMap

Individual provider Active NPI

Paul W Hlavinka, CRNP

  • Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1497283030
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP017592 Issued in PA
Practice address
153 Brodhead Rd
Bethlehem, PA 18017-8931
Phone
(484) 526-3218
Fax
(484) 526-3180
NPI assigned
May 26, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP017592 PA Primary

Addresses

Primary practice location

153 Brodhead Rd
Bethlehem, PA 18017-8931

Mailing address

153 Brodhead Rd
Bethlehem, PA 18017-8931
Phone (484) 526-3218

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170804000195 PA Practitioner - Nurse Practitioner 5698046969 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5881 Monocacy Dr
Bethlehem, PA 18017
Phone (610) 419-8885

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital - Anderson Campus CurrentSince Jul 1, 2017 Accepting new patients
Carbon - Schuylkill Community Hospital Inc CurrentSince Jul 1, 2017 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Current Accepting new patients
St. Luke's Quakertown Hospital Current Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Jul 1, 2017 Accepting new patients
St Luke's Hospital CurrentSince Jul 1, 2017 Accepting new patients
St. Luke's Hosptial CurrentSince Jul 1, 2017 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Jul 1, 2017 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Dec 27, 2017 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Dec 27, 2017 Accepting new patients
Advanced Primary Care Associates Nurse Practitioner CurrentSince Nov 1, 2017 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Jul 1, 2017 Accepting new patients
St. Luke's Hospital CurrentSince Jul 1, 2017 Accepting new patients
NJ Certified Dermatology PC PastSince Nov 1, 2017 Accepting new patients

Locations

501 Cetronia Rd
Allentown, PA 18104
Phone (484) 426-2501

153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200

701 W Union Blvd
Unit 5
Bethlehem, PA 18018
Phone (610) 867-1511

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

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

2092 W Penn Pike
New Ringgold, PA 17960
Phone (272) 639-5370

2793 Geryville Pike
Pennsburg, PA 18073
Phone (267) 424-8005

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16760/brand/1/csg/1/fhir/r4
  • Direct secure messaging: paul.hlavinka.1@16760.direct.athenahealth.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 8

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": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497283030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BRODHEAD RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178931",
            "telephone_number": "484-526-3218",
            "fax_number": "484-526-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BRODHEAD RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178931",
            "telephone_number": "484-526-3218",
            "fax_number": "484-526-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLAVINKA",
        "first_name": "PAUL",
        "middle_name": "W",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.