Active NPI
Patti Ann Dasilva, CRNP
- Family Nurse Practitioner
- Pottsville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP014569
- Practice address
- 420 S Jackson St
Pottsville, PA 17901-3625 - Phone
- (570) 621-6120
- NPI assigned
- Feb 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP014569 | PA | Primary |
Addresses
Primary practice location
420 S Jackson St
Pottsville, PA 17901-3625
Mailing address
420 S Jackson St
Pottsville, PA 17901-3625
Other practice location 1
4 Clover Dr
Saint Clair, PA 17970-2200
Phone (570) 429-1012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150824000021 | PA | Practitioner - Nurse Practitioner | 5496060246 | Reassigns benefits to 3 organizations |
| I20200317000989 | FL | Practitioner - Nurse Practitioner | 5496060246 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MD Now Medical Centers Inc
Practice addresses (Care Compare)
11800 S Military TRL
Suite 105
Golf, FL 33436-5506
Phone (561) 264-2280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP014569 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Physician Services of Maryland, PC | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Atlantic Physician Services of Maryland, P.C. | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc. | Current | Accepting new patients | |
| Schuylkill Health System Medical Group, Inc. | Family | Current | Accepting new patients |
| Medexpress Urgent Care of Boynton Beach, LLC | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennyslvania | Current | Accepting new patients | |
| Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Schuylkill Health System Medical Group, Inc. | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc. | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc. | Current | Accepting new patients | |
| Medexpress Urgent Care of Boynton Beach, LLC | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc | Past | Accepting new patients |
Locations
7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200
1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004
11800 S Military Trl
Ste 105
Golf, FL 33436
Phone (561) 264-2280
8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020
2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637
4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072
300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711
121 N Tulpehocken St
Pine Grove, PA 17963
Phone (570) 345-2345
7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278
420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000
205 E Laurel Blvd
Pottsville, PA 17901
Phone (570) 622-1887
700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000
48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555
700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440
2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300
4 Clover Dr
Saint Clair, PA 17970
Phone (570) 429-1012
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
Organizations & group practices 15
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.
-
- Internal Medicine Physician
- Pottsville, PA
- NPI 1588603567
Family, PA
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1366544728
FL
-
- Urgent Care Clinic/Center
- Saint Clair, PA
- NPI 1720545320
-
- Urgent Care Clinic/Center
- Lebanon, PA
- NPI 1518252964
-
- Emergency Medicine Physician
- Pottsville, PA
- NPI 1063073823
-
- Physician Assistant
- Baltimore, MD
- NPI 1174632376
-
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1023067220
-
- Urgent Care Clinic/Center
- Largo, FL
- NPI 1275848426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1457741985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 S JACKSON ST",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179013625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S JACKSON ST",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179013625",
"telephone_number": "570-621-6120"
}
],
"practiceLocations": [
{
"address_1": "4 Clover Dr",
"address_purpose": "LOCATION",
"city": "Saint Clair",
"state": "PA",
"postal_code": "179702200",
"country_code": "US",
"telephone_number": "570-429-1012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DASILVA",
"first_name": "PATTI ANN",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP014569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pottsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.