IndividualActive
Pennie Pavlisin, RN
NPI 1275384836 · Registered Nurse · Lebanon, IL
Pennie Pavlisin, RN is a Registered Nurse provider in Lebanon, IL (NPI 1275384836).
Provider details
- NPI number
- 1275384836
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041416715 (IL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1364 Lantern Lights Cir # 1364
Lebanon, IL 62254-1841
Phone: (301) 801-6140
Street-level locationGet directions
Mailing address
1364 Lantern Lights Cir # 1364
Lebanon, IL 62254-1841
Registry dates
- Enumerated
- 2024-04-01
- Last updated
- 2024-04-01
- Certified
- 2024-03-30
Frequently asked questions
- What is Pennie Pavlisin's NPI number?
- Pennie Pavlisin's National Provider Identifier (NPI) is 1275384836, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pennie Pavlisin's specialty?
- Pennie Pavlisin is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Pennie Pavlisin located?
- Pennie Pavlisin's practice location on file with NPPES is 1364 Lantern Lights Cir # 1364, Lebanon, IL 62254-1841.
- What is Pennie Pavlisin's phone number?
- The practice phone number listed in the NPPES registry for Pennie Pavlisin is (301) 801-6140.
- Is Pennie Pavlisin's NPI active?
- Yes — Pennie Pavlisin's NPI (1275384836) is active in the NPPES registry as of the last update on 2024-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.