Dana Marie Addesa, MSN, CRNP, FNP-C
Individual provider Active NPI Nurse Practitioner · Hazle Township, PA
NPI 1740907328 · NPPES record last updated Jan 16, 2023
Key facts
- NPI
- 1740907328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- SP026358 (PA)
- Practice address
- 426 Airport Rd
Hazle Township, PA 18202-3361 - Phone
- (570) 459-9730
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geisinger Clinic
Practice addresses (Care Compare)
35 S Mountain Blvd
Mountain Top, PA 18707-1122
Phone (570) 474-5978
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221222002844 | PA | Practitioner - Nurse Practitioner | 8729458351 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Nurse Practitioner | Current | Accepting new patients |
| Geisinger Clinic | Current |
Accepting new patients | |
| Caring Community Health Center | Current | Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Caring Community Health Center | Current |
Accepting new patients | |
| Caring Community Health Center | Current |
Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
426 Airport Rd
Ste 125
Hazle Township, PA 18202
Phone (570) 829-2621
426 Airport Rd
Hazle Township, PA 18202
Phone (570) 453-0172
3 W Olive St
Ste 210A
Scranton, PA 18508
Phone (570) 342-0889
809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700
25 Church St
Wilkes Barre, PA 18702
Phone (570) 340-5800
175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702
Phone (570) 821-0808
35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072
Interoperability endpoints
- daddesa557999@direct.geisinger.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP026358 | PA | Yes |
Addresses
Primary practice location
426 Airport Rd
Hazle Township, PA 18202-3361
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other practice location 1
175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040
Phone (570) 829-2621
Other providers in Hazle Township, PA
All providers in Hazle Township, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.