Individual provider Active NPI

Danielle Pavlik

  • Certified Registered Nurse Anesthetist
  • Latrobe, PA
National Provider Identifier
1730775834
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN603309 Issued in PA
Practice address
121 W 2ND Ave
Latrobe, PA 15650-1068
Phone
(724) 537-1000
NPI assigned
Dec 14, 2020
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN603309 PA Primary

Addresses

Primary practice location

121 W 2ND Ave
Latrobe, PA 15650-1068

Mailing address

712 James St
Latrobe, PA 15650-3034
Phone (724) 875-1106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210127000514 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406260843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

532 W Pittsburgh St
Greensburg, PA 15601-2239

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN603309PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Aug 30, 2025 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Butler Medical Providers CurrentSince Aug 30, 2025 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Butler Medical Providers Current Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients

Locations

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

134 Industrial Park Rd
Ste 1500
Greensburg, PA 15601

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1730775834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 JAMES ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156503034",
            "telephone_number": "724-875-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W 2ND AVE",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501068",
            "telephone_number": "724-537-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLIK",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN603309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.