ERICA R PAVELKO CRNP
NPI 1568937423
Nurse Practitioner - Family in Lebanon, PA
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Erica Pavelko reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lebanon, PA 17042
- Reassigned Medicare billing, Pennsylvania enrollment
- 32 clinicians in this Medicare group
Lebanon, PA 17046
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Wilkes Barre, PA 18764
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Emergency Care Services Of Pennsylvania PC
- 329 clinicians in this Medicare group
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 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.
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, PAPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Erica Pavelko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica Pavelko reassigns Medicare benefits to 3 organizations: The Good Samaritan Hospital Of Lebanon, Pennsylvania (Lebanon, PA), Wellspan Medical Group (Lebanon, PA) and Emergency Care Services Of Pennsylvania, P.C. (Wilkes Barre, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erica Pavelko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 18 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.
# Erica R Pavelko, CRNP · NPI 1568937423
Family physician in Lebanon, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 8, 2018.
## Identity
- **NPI:** 1568937423 (Entity type: Individual)
- **Enumerated:** October 8, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP019356 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 252 S 4TH ST, Lebanon, PA 17042-6111
- **Phone:** (717) 270-4876 · **Fax:** (717) 270-3875
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Good Samaritan Hospital Of Lebanon, Pennsylvania (NPI 1730754284, Lebanon, PA); Wellspan Medical Group (NPI 1356892889, Lebanon, PA); Emergency Care Services Of Pennsylvania, P.C. (NPI 1235374927, Wilkes Barre, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1568937423) · Data from the CMS NPPES public registry.