Individual provider Active NPI

Diane Butkus, CRNA

  • Certified Registered Nurse Anesthetist
  • Danville, PA
National Provider Identifier
1568464337
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN275700L Issued in PA
Practice address
100 N Academy Ave
Danville, PA 17822-1117
Phone
(570) 271-6621
Fax
(570) 271-6762
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-275700-L PA
Certified Registered Nurse Anesthetist 367500000X 044096 PA
Certified Registered Nurse Anesthetist 367500000X RN275700L PA Primary

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822-1117

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
60929OtherPAGEISINGER
032221501OtherPACAPITAL ADVANTAGE
0782475000OtherPAIBC
859828OtherPAHIGHMARK

Other names 1

  • Diane Pangonis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000751 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395776181 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger Clinic 3,432 clinicians
Geisinger-HM Joint Venture LLC 426 clinicians
Hazleton Anesthesia Services PC 35 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211

255 Route 220 Hwy
Muncy, PA 17756-7569
Phone (570) 308-2600

700 E Broad St
Hazelton, PA 18201-6835
Phone (570) 501-4000

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185
  • Geisinger-Bloomsburg Hospital Hospital, Bloomsburg, PA, CCN 390003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-275700-LPAMDRegistered Nurse
044096PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Pottsville PA Endoscopy ASC LP Current Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Geisinger-HM Joint Venture LLC CurrentSince May 8, 2023 Accepting new patients
Geisinger Clinic Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 14, 2024 Accepting new patients
Lehigh Valley Anesthesia Services, P. C. Nurse Anesthetist, Certified Registered CurrentSince Dec 23, 2019 Accepting new patients
Geisinger Clinic CurrentSince May 8, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince May 8, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 14, 2024 Accepting new patients
Hazleton Anesthesia Services, P.C. CurrentSince Jan 1, 2010 Accepting new patients
Gulfstream Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Jul 22, 2019 Accepting new patients
Northeast Gastroenterology Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
The Pottsville PA Endoscopy ASC LP CurrentSince Dec 17, 2015 Accepting new patients
Greater Hazleton Gastroenterology, P.C. Current Accepting new patients
Geisinger Clinic CurrentSince May 8, 2023 Accepting new patients
Anthracite Anesthesia Consultants, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Northeast Gastroenterology Center, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Mercy Tyler Hospital Past Accepting new patients
Mercy Tyler Health Systems Past Accepting new patients
Pinnacle Mid-Atlantic Anesthesia Associates PC Nurse Anesthetist, Certified Registered PastSince Sep 15, 2019 Accepting new patients

Locations (25 of 30)

400 10th St E
Waconia, MN 55387

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

701 E 16th St
Berwick, PA 18603
Phone (570) 754-5000

95 Highland Ave
Ste 100
Bethlehem, PA 18017
Phone (610) 868-8600

2775 Schoenersville Rd
Bethlehem, PA 18017

100 N Academy Ave
Danville, PA 17822

61 Industrial Dr
Hamburg, PA 19526
Phone (570) 617-7024

1062 N Church St
Hazle Township, PA 18202
Phone (570) 459-5102

1060 N Church St
Hazle Township, PA 18202
Phone (570) 459-9927

10 Park Pl
Hazle Township, PA 18202
Phone (570) 454-1400

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

490 Northampton St
Kingston, PA 18704
Phone (570) 288-8100

2128 Blakeslee Boulevard Dr E
Lehighton, PA 18235
Phone (484) 224-9970

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

790 Newtown Yardley Rd
Ste 415
Newtown, PA 18940
Phone (215) 579-2004

2000 Grant Ave
Philadelphia, PA 19115
Phone (215) 992-6000

20 N Sunnybrook Rd
Ste 2
Pottstown, PA 19464
Phone (484) 374-2600

48 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5555

48 Tunnel Rd
Ste 103
Pottsville, PA 17901
Phone (570) 622-6520

201 E Laurel Blvd
Pottsville, PA 17901
Phone (570) 328-4444

575 E Norwegian St
Pottsville, PA 17901
Phone (570) 622-1200

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

Organizations & group practices 29

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 29

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1568464337",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178221117",
            "telephone_number": "570-271-6621",
            "fax_number": "570-271-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTKUS",
        "first_name": "DIANE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN-275700-L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "044096",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN275700L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "60929",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL ADVANTAGE",
            "identifier": "032221501",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0782475000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "859828",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "PANGONIS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.