ERICA R PAVELKO CRNP
NPI 1568937423
Nurse Practitioner - Family in Lebanon, PA

Active since October 08, 2018PECOS EnrolledAccepts Medicare Assignment
252 S 4TH ST, LEBANON, PA 17042(717) 270-4876(717) 270-3875 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 27, 2025, Mar 6, 2025, Aug 21, 2023 and 2 more (5 updates tracked since 2018).

About Erica R Pavelko Crnp NPPES

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

ERICA R PAVELKO CRNP (NPI 1568937423) is an individual family provider in Lebanon, Pennsylvania, licensed in Pennsylvania (SP019356) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and maintains a secondary practice location in Ephrata.

NPPES Registry Identity

NPI1568937423
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA R PAVELKOCredential: CRNP
Location Address252 S 4TH STLebanon, PA 17042-6111
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Fax(717) 270-3875
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 8, 2018
Last NPPES UpdateMarch 27, 20255 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1568937423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP019356
Also ListedHospitalistTaxonomy 208M00000X · License RN649194 (PA)
252 S 4TH ST, Lebanon, PA 17042

Other Names 1

Former Name (1)Erica R Light Crnp

Secondary Practice Location 1

Location 1169 Martin AveEphrata, PA 17522-1734 · Phone (717) 721-4740 · Fax (717) 738-6872

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Erica R Pavelko Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608120654
PECOS Enrollment IDI20181112000456
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.

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
120 services114 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$84.41 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.

Hospitalist
252 S 4TH ST
LEBANON, PA 17042
Nurse Anesthetist, Certified Registered
252 S 4TH ST
LEBANON, PA 17042
Physician Assistant
252 S 4TH ST, GOOD SAMARITAN HOSPITAL
LEBANON, PA 17042
Physician Assistant
252 S 4TH ST
LEBANON, PA 17042
Emergency Medicine
252 S 4TH ST
LEBANON, PA 17042
Emergency Medicine
252 S 4TH ST
LEBANON, PA 17042
Nurse Anesthetist, Certified Registered
252 S 4TH ST
LEBANON, PA 17042
Hospitalist
252 S 4TH ST
LEBANON, PA 17042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erica Pavelko's NPI number?

The NPI number for Erica Pavelko is 1568937423. It was assigned to this individual provider in the NPPES registry on October 8, 2018. The provider is also known as Erica R Light Crnp.

Where is Erica Pavelko located?

Erica Pavelko practices at 252 S 4th St, Lebanon, PA 17042. The listed phone number is (717) 270-4876.

What is Erica Pavelko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erica Pavelko enrolled in Medicare?

Yes. Erica Pavelko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Erica Pavelko affiliated with any hospitals?

According to CMS data, Erica Pavelko is affiliated with Wellspan Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Erica Pavelko was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.