MRS. AMY TRAVALINE CRNP
NPI 1790453066
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since September 01, 2021PECOS Enrolled
125 S 9TH ST STE 1005, PHILADELPHIA, PA 19107(215) 543-7002(215) 987-5891 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Amy Travaline Crnp NPPES

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

MRS. AMY TRAVALINE CRNP (NPI 1790453066) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SPO23855) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790453066
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. AMY TRAVALINECredential: CRNP
Location Address125 S 9TH ST STE 1005Philadelphia, PA 19107-5123
Mailing Address125 S 9th St Ste 1005Philadelphia, PA 19107-5123 · (215) 543-7002 · Fax (215) 987-5891
Fax(215) 987-5891
Sole ProprietorNo
Enumeration DateSeptember 1, 2021
NPPES CertifiedSeptember 1, 2021
NPI 1790453066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in PA · SPO23855
125 S 9TH ST STE 1005, Philadelphia, PA 19107

Other Names 1

Former Name (1)Miss Amy Zawada Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Amy Travaline Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Adult Health)
125 S 9TH ST STE 1005
PHILADELPHIA, PA 19107

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 Amy Travaline's NPI number?

The NPI number for Amy Travaline is 1790453066. It was assigned to this individual provider in the NPPES registry on September 1, 2021. The provider is also known as Miss Amy Zawada Rn.

Where is Amy Travaline located?

Amy Travaline practices at 125 S 9th St Ste 1005, Philadelphia, PA 19107. The listed phone number is (215) 543-7002.

What is Amy Travaline's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Amy Travaline enrolled in Medicare?

Yes. Amy Travaline is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Travaline was last updated on September 1, 2021. 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.