Individual provider Active NPI

Patti Ann Dasilva, CRNP

  • Family Nurse Practitioner
  • Pottsville, PA
National Provider Identifier
1457741985
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP014569 Issued in PA
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

Updated by the provider on May 16, 2024

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 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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 314 clinicians

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

LicenseStateTypeSpecialty
SP014569PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physician Services of Maryland, PC CurrentSince Sep 1, 2016 Accepting new patients
MD Now Medical Centers Inc CurrentSince Feb 28, 2024 Accepting new patients
Atlantic Physician Services of Maryland, P.C. CurrentSince Sep 1, 2016 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Sep 23, 2022 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family CurrentSince Mar 1, 2018 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Sep 23, 2022 Accepting new patients
Medexpress Urgent Care, PC - Pennyslvania CurrentSince Apr 4, 2020 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Apr 4, 2020 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Sep 23, 2022 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Sep 23, 2022 Accepting new patients
MD Now Medical Centers Inc CurrentSince Feb 28, 2024 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.

View all 15

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

Verify at the official NPI Registry.