Dana Lynn Willerton, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00229800 Issued in NJ

Practice address

101 Gaither Drive
Mt. Laurel, NJ 08054

Phone

(856) 810-9888

Fax

(856) 810-9889

NPI assigned

Nov 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Dana Lynn Welsh Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: dwelsh@sjsc.emadirect.md

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.

• South Jersey Skin Care & Laser Center, P.C.

  • Dermatology Physician
  • Marlton, NJ
  • NPI 1518906403
  Medicare reassignment

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1639406424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GAITHER DRIVE",
            "city": "MT. LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-810-9888",
            "fax_number": "856-810-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GAITHER DRIVE",
            "city": "MT. LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-810-9888",
            "fax_number": "856-810-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLERTON",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00229800",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00229800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "WELSH",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tanner C White
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• Katelynn Wiamer
• Frank Lawrence Wilczynski, D.O.
• Barbra Wilen, OTR/L
• William L. Shinefield
• Afton Williams
• Ashana Evette Williams, PH.D
• Kevin Matthew Williams, PHARMD.
• Willow Creek

• Medical Physician Assistant in Mt. Laurel, NJ
• Providers in Mt. Laurel, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.

Verify at the official NPI Registry.