PAUL W HLAVINKA CRNP
NPI 1497283030
Nurse Practitioner in Bethlehem, PA

Q: What is Paul Hlavinka's NPI number?

The NPI number for Paul Hlavinka is 1497283030. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Q: What is Paul Hlavinka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Hlavinka was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2017PECOS Enrolled

153 BRODHEAD RD, BETHLEHEM, PA 18017(484) 526-3218(484) 526-3180 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 7, 2017, May 26, 2017 (3 updates tracked since 2017).

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About Paul W Hlavinka Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL W HLAVINKA CRNP (NPI 1497283030) is an individual nurse practitioner in Bethlehem, Pennsylvania, licensed in Pennsylvania (SP017592) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1497283030

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NamePAUL W HLAVINKACredential: CRNP

Location Address153 BRODHEAD RDBethlehem, PA 18017-8931

Mailing Address153 Brodhead RdBethlehem, PA 18017-8931 · (484) 526-3218 · Fax (484) 526-3180

Phone(484) 526-3218

Fax(484) 526-3180

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 26, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1497283030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP017592

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

153 BRODHEAD RD, Bethlehem, PA 18017

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Other Identifiers 1

MedicaidPENDINGPA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul W Hlavinka Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698046969

PECOS Enrollment IDI20170804000195

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Paul Hlavinka reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Hospital

Same address

Urgent Care

153 BRODHEAD RD
Bethlehem, PA 18017

Reassigned Medicare billing, Pennsylvania enrollment
128 clinicians in this Medicare group

NPI 1740232719 (484) 526-3218

Advanced Primary Care Associates

3.4 mi

Nurse Practitioner

701 W UNION BLVD UNIT 5
Bethlehem, PA 18018

Reassigned Medicare billing, Pennsylvania enrollment
2 clinicians in this Medicare group

NPI 1629580428 (610) 897-2045

St. Luke's Hosptial

12 mi

Urgent Care

487 E MOORESTOWN RD
Wind Gap, PA 18091

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: St Lukes Hospital-Anderson Campus
104 clinicians in this Medicare group

NPI 1376965731 (484) 526-7850

St. Luke's Quakertown Hospital

16 mi

Urgent Care

157 S WEST END BLVD
Quakertown, PA 18951

Reassigned Medicare billing, Pennsylvania enrollment
128 clinicians in this Medicare group

NPI 1457710576 (215) 538-4930

St. Luke's Hospital Monroe Campus

17 mi

Urgent Care

111 ROUTE 715 STE 102
Brodheadsville, PA 18322

Reassigned Medicare billing, Pennsylvania enrollment
106 clinicians in this Medicare group

NPI 1831618560 (272) 212-0420

The Carbon Schuylkill Community Hospital, Inc.

20 mi

Urgent Care

575 S 9TH ST STE 7
Lehighton, PA 18235

Reassigned Medicare billing, Pennsylvania enrollment
145 clinicians in this Medicare group

NPI 1386185452 (570) 645-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

363 services117 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

57 services57 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

35 services18 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

30 services24 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

23 services19 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

28%25 patients2/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

33%43 patients2/55-star benchmark: 85%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier21 claims21 services$39.30 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier12 claims12 services$36.30 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers30 claims30 services$13.59 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$6.83 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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