Individual provider Active NPI

Dawn Hartman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Media, PA
National Provider Identifier
1649950684
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP027807 Issued in PA
Practice address
111 Elwyn Rd
Media, PA 19063-4622
Phone
(484) 995-7961
Fax
(610) 578-2529
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X SP027807 PA Primary

Addresses

Primary practice location

111 Elwyn Rd
Media, PA 19063-4622

Mailing address

111 Elwyn Rd
Media, PA 19063-4622
Phone (484) 995-7961

Other practice location 1

2762 Lenni Rd
Aston, PA 19014-1046
Phone (484) 995-7961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20250206001897 PA Practitioner - Nurse Practitioner 9032649090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1015 Chestnut St
Suite 1520
Philadelphia, PA 19107-4315
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP027807PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CMC of PA PC Multi-Specialty CurrentSince Nov 15, 2024 Accepting new patients
Thrive Counseling LLC Multi-Specialty CurrentSince Jan 17, 2025 Accepting new patients
Elwyn of Pennsylvania and Delaware Multi-Specialty Past Accepting new patients
Complete Mind Care of PA, LLC PastSince Nov 15, 2024 Accepting new patients

Locations

1021 Old York Rd
Ste 301
Abington, PA 19001
Phone (215) 254-6000

715 Twining Rd
Ste 120
Dresher, PA 19025

1015 Chestnut St
Ste 1520
Philadelphia, PA 19107
Phone (215) 601-7379

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1649950684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "484-995-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "484-995-7961",
            "fax_number": "610-578-2529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2762 Lenni Rd",
            "address_purpose": "LOCATION",
            "city": "Aston",
            "state": "PA",
            "postal_code": "190141046",
            "country_code": "US",
            "telephone_number": "484-995-7961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "DAWN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.