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DANIELLE MARIE CAVANAUGH PA-C
NPI 1730744608
Physician Assistant in Glens Falls, NY

Active since May 07, 2019PECOS EnrolledAccepts Medicare Assignment
100 BROAD ST, GLENS FALLS, NY 12801(518) 792-2223(518) 792-8231 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2025, Dec 20, 2024, Aug 18, 2022 and 8 more (11 updates tracked since 2019).

About Danielle Marie Cavanaugh Pa-c NPPES

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

DANIELLE MARIE CAVANAUGH PA-C (NPI 1730744608) is an individual physician assistant in Glens Falls, New York, licensed in New York (024349) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and maintains a secondary practice location in Warrensburg.

NPPES Registry Identity

NPI1730744608
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANIELLE MARIE CAVANAUGHCredential: PA-C
Location Address100 BROAD STGlens Falls, NY 12801-4349
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Phone(518) 792-2223
Fax(518) 792-8231
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 7, 2019
Last NPPES UpdateMay 23, 202511 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1730744608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 024349
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 BROAD ST, Glens Falls, NY 12801
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Other Names 1

Former Name (1)Danielle Marie Tetreault Pa-c

Secondary Practice Location 1

Location 13767 Main StreetWarrensburg, NY 12885-1890 · Phone (518) 623-2844 · Fax (518) 623-3416

Other Identifiers 1

Medicaid05930130NY

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

Danielle Marie Cavanaugh Pa-c 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 ID8022440825
PECOS Enrollment IDI20191116000153
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.

Hospital Affiliations CMS Care Compare

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JAMES FOX PHARMD
Pharmacist
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 798-3700
JENNIFER S CASE RPA-C
Physician Assistant (Medical)
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 792-2223
ELIZABETH D CRAWFORD RPA-C
Physician Assistant
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 792-2223
HUDSON HEADWATERS HEALTH NETWORK
Internal Medicine
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 792-2223
MAGDELINE INZERILLI RPA-C
Physician Assistant
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 792-2223
MICHAEL GUMUKA MD
Family Medicine
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 792-2223
HUDSON HEADWATERS HEALTH NETWORK
Nurse Practitioner (Psychiatric/Mental Health)
100 BROAD ST
GLENS FALL, NY 12801
Warren County (518) 792-2223
RANYA ALI HAMDAN PA-C
Physician Assistant
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 792-2223

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 Danielle Cavanaugh's NPI number?

The NPI number for Danielle Cavanaugh is 1730744608. It was assigned to this individual provider in the NPPES registry on May 7, 2019. The provider is also known as Danielle Marie Tetreault Pa-C.

Where is Danielle Cavanaugh located?

Danielle Cavanaugh practices at 100 Broad St, Glens Falls, NY 12801. The listed phone number is (518) 792-2223.

What is Danielle Cavanaugh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Danielle Cavanaugh enrolled in Medicare?

Yes. Danielle Cavanaugh 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 Danielle Cavanaugh affiliated with any hospitals?

According to CMS data, Danielle Cavanaugh is affiliated with Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Danielle Cavanaugh was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.