NPIMap

Individual provider Active NPI

Dayna Nicole States, CRNP

  • Family Nurse Practitioner
  • Perkasie, PA
National Provider Identifier
1235756230
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021700 Issued in PA
Practice address
1114 Seven Corner Rd
Perkasie, PA 18944-2521
Phone
(267) 614-8508
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 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 SP021700 PA Primary

Addresses

Primary practice location

1114 Seven Corner Rd
Perkasie, PA 18944-2521

Mailing address

1114 Seven Corner Rd
Perkasie, PA 18944-2521
Phone (267) 614-8508

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
I20210930001104 PA Practitioner - Nurse Practitioner 9931506177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Trivalley Primary Care PCGroup PAC ID 4981680923, 57 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

777 Route 113
Souderton, PA 18964-1000
Phone (215) 723-3280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP021700PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trivalley Primary Care, PC CurrentSince Oct 1, 2021 Accepting new patients
Delta Medical Group Past Accepting new patients

Locations

519 S 5th St
Ste 130
Perkasie, PA 18944
Phone (215) 257-8601

777 Route 113
Ofc
Souderton, PA 18964
Phone (215) 723-3280

777 Route 113
Souderton, PA 18964
Phone (215) 723-3280

Interoperability endpoints

  • Direct secure messaging: dayna.states@tvpc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDCBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1235756230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 SEVEN CORNER RD",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189442521",
            "telephone_number": "267-614-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 SEVEN CORNER RD",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189442521",
            "telephone_number": "267-614-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATES",
        "first_name": "DAYNA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perkasie, PA

Sources for this page

Verify at the official NPI Registry.