Active NPI
Diane Butkus, CRNA
- Certified Registered Nurse Anesthetist
- Danville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN275700L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60929 | Other | PA | GEISINGER |
| 032221501 | Other | PA | CAPITAL ADVANTAGE |
| 0782475000 | Other | PA | IBC |
| 859828 | Other | PA | HIGHMARK |
Other names 1
- Diane Pangonis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 ClinicGeisinger-HM Joint Venture LLCHazleton Anesthesia Services PC
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
- Lehigh Valley Hospital - Hazleton
- Geisinger-Bloomsburg Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-275700-L | PA | MD | Registered Nurse |
| 044096 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pottsville PA Endoscopy ASC LP | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Geisinger-HM Joint Venture LLC | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Anesthesia Services, P. C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Hazleton Anesthesia Services, P.C. | Current | Accepting new patients | |
| Gulfstream Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northeast Gastroenterology Center, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Pottsville PA Endoscopy ASC LP | Current | Accepting new patients | |
| Greater Hazleton Gastroenterology, P.C. | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Anthracite Anesthesia Consultants, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northeast Gastroenterology Center, Inc. | Current | 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 | Past | 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.
-
- Certified Registered Nurse Anesthetist
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- NPI 1366168353
Nurse Anesthetist, Certified Registered, PA
-
- Anesthesiology Physician
- Troy, PA
- NPI 1992713242
Nurse Anesthetist, Certified Registered, PA
-
- Certified Registered Nurse Anesthetist
- Allentown, PA
- NPI 1730174731
Nurse Anesthetist, Certified Registered, PA
-
- Gastroenterology Physician
- Hazle Township, PA
- NPI 1164509287
PA
-
- Surgery Physician
- Danville, PA
- NPI 1255382784
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Internal Medicine Physician
- Muncy, PA
- NPI 1952076119
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1073075909
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.