NPIMap

Individual provider Active NPI

Danielle Burkholder, PA-C

  • Physician Assistant
  • Pottstown, PA
National Provider Identifier
1073921094
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA003607 Issued in PA
Practice address
1600 E High St
Pottstown, PA 19464-5008
Phone
(610) 327-7000
NPI assigned
Jul 23, 2014
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA003607 PA Primary
Medical Physician Assistant 363AM0700X MA018126 PA
Medical Physician Assistant 363AM0700X MA057031 PA

Addresses

Primary practice location

1600 E High St
Pottstown, PA 19464-5008

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405

Other practice location 1

136 Lake St
Brossman Center for Health
Ephrata, PA 17522-2415
Phone (717) 721-7718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141003002146 PA Practitioner - Physician Assistant 2668692146 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

4301 5TH St Hwy
Temple, PA 19560-1739
Phone (610) 208-8801

446 N Reading Rd
Ephrata, PA 17522-9802

446 N Reading Rd FL
2 Wellspan Thoracic Surgery
Ephrata, PA 17522-9802
Phone (717) 356-5864

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA003607PAMDPhysician Assistant
MA018126PAMDMedical Physician Assistant
MA057031PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Dec 26, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Dec 26, 2023 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Dec 5, 2018 Accepting new patients
St Joseph Regional Health Network CurrentSince Feb 25, 2024 Accepting new patients
St Joseph Regional Health Network CurrentSince Feb 25, 2024 Accepting new patients
St. Joseph Regional Health Network Past Accepting new patients
Humboldt Emergency Physicians LLC Physician Assistant Past Accepting new patients

Locations

108 Plaza Dr
Ste 101
Blandon, PA 19510
Phone (610) 208-4650

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

145 N 6th St
Fl 2
Reading, PA 19601
Phone (610) 208-4558

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: dburkholder415491@wellspan.direct-ci.com

Organizations & group practices 11

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

Hospital & facility affiliations 5

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1073921094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645008",
            "telephone_number": "610-327-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Lake St",
            "address_2": "Brossman Center for Health",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175222415",
            "country_code": "US",
            "telephone_number": "717-721-7718",
            "fax_number": "717-721-7726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003607",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA018126",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.