Individual provider Active NPI

Danijela Pandza

  • Family Nurse Practitioner
  • Conneautville, PA
National Provider Identifier
1043626559
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013596 Issued in PA
Practice address
906 Washinton Street
Conneautville, PA 16406
Phone
(814) 373-2276
Fax
(814) 333-5781
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP013596 PA Primary

Addresses

Primary practice location

906 Washinton Street
Conneautville, PA 16406

Mailing address

1101 Market St
FL 30
Philadelphia, PA 19107-2934
Phone (215) 503-3685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140903000106 PA Practitioner - Nurse Practitioner 8022236199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

925 Chestnut St
Suite 420a
Philadelphia, PA 19107-4204
Phone (215) 955-8516

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP013596PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians CurrentSince Sep 14, 2020 Accepting new patients
Jefferson University Physicians PastSince Sep 14, 2020 Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

925 Chestnut St
Ste 420A
Philadelphia, PA 19107
Phone (215) 955-8516

925 Chestnut St
Philadelphia, PA 19107
Phone (215) 955-5050

1101 Chestnut St
#8
Philadelphia, PA 19107
Phone (215) 955-5869

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1043626559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MARKET ST",
            "address_2": "FL 30",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072934",
            "telephone_number": "215-503-3685",
            "fax_number": "215-955-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 WASHINTON STREET",
            "city": "CONNEAUTVILLE",
            "state": "PA",
            "postal_code": "16406",
            "telephone_number": "814-373-2276",
            "fax_number": "814-333-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDZA",
        "first_name": "DANIJELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conneautville, PA

Sources for this page

Verify at the official NPI Registry.