Individual provider Active NPI

Patricia D. Pavlick, FNP

  • Nurse Practitioner
  • Corning, NY
National Provider Identifier
1730153735
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F333802 Issued in NY
Practice address
123 Conhocton St
Corning, NY 14830-2911
Phone
(607) 962-5402
Fax
(607) 962-1502
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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 F333802 NY Primary

Addresses

Primary practice location

123 Conhocton St
Corning, NY 14830-2911

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Other identifiers 3

IdentifierTypeStateIssuer
CC8362OtherNYRR MEDICARE GROUP
P00387773OtherNYRR MEDICARE PIN
02679270MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017000496 NY Practitioner - Nurse Practitioner 1052337375 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians
Arnot Medical Services PLLCGroup PAC ID 0840450748, 91 clinicians

Practice addresses (Care Compare)

100 John Roemmelt Dr
Suite 101
Horseheads, NY 14845-8302
Phone (607) 739-0352

418 S Hamilton St
109A
Painted Post, NY 14870-9705
Phone (607) 936-2089

Hospital & facility affiliations

  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
55.31
Promoting interoperability
99
Improvement activities
40
Cost
76.8

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
46.76
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F333802NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Arnot Ogden Medical Center CurrentSince Apr 9, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 1, 2016 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 1, 2016 Accepting new patients
Arnot Medical Services PLLC CurrentSince Apr 9, 2024 Accepting new patients
Southern Tier Medical Care - Ny PC CurrentSince Jun 21, 2021 Accepting new patients
Exigence Medical of Binghamton PLLC CurrentSince Apr 4, 2019 Accepting new patients
Arnot Ogden Medical Center CurrentSince Apr 9, 2024 Accepting new patients
St James Hospital CurrentSince Sep 1, 2014 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Jun 21, 2021 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Nurse Practitioner Current Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Jun 21, 2021 Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

123 Conhocton St
Corning, NY 14830
Phone (607) 936-6657

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

1336 Cedar St
Elmira, NY 14904
Phone (607) 734-3929

601 E Church St
Elmira, NY 14901
Phone (607) 271-9860

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

411 Canisteo St
Hornell, NY 14843
Phone (607) 324-8000

100 John Roemmelt Dr
Ste 101
Horseheads, NY 14845
Phone (607) 739-0352

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

125 Victory Hwy
Painted Post, NY 14870
Phone (607) 240-2535

125 Victory Hwy
Painted Post, NY 14870

418 S Hamilton St
#109A
Painted Post, NY 14870
Phone (607) 936-2089

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: patricia.pavlick@arn.eclinicaldirectplus.com

Organizations & group practices 12

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.

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1730153735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858",
            "fax_number": "607-962-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CONHOCTON ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302911",
            "telephone_number": "607-962-5402",
            "fax_number": "607-962-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLICK",
        "first_name": "PATRICIA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F333802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CC8362",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00387773",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02679270",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.