Individual provider Active NPI

Dana R Nikles, CRNP

  • Family Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1770936114
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016339 Issued in PA
Practice address
2110 Harrisburg Pike
Ste 310
Lancaster, PA 17601-2644
Phone
(717) 544-3232
Fax
(717) 544-3238
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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 SP016339 PA Primary

Addresses

Primary practice location

2110 Harrisburg Pike
Ste 310
Lancaster, PA 17601-2644

Mailing address

2110 Harrisburg Pike
Ste 310
Lancaster, PA 17601-2644
Phone (717) 544-3232

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
I20160906000447 PA Practitioner - Nurse Practitioner 0345536181 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians
Palliative Medicine ConsultantsGroup PAC ID 4587732623, 7 clinicians

Practice addresses (Care Compare)

2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-9400

685 Good Dr
Lancaster, PA 17601-2426
Phone (717) 735-3131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016339PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Aug 1, 2022 Accepting new patients
Lancaster General Hospital CurrentSince Jan 2, 2018 Accepting new patients
Lancaster General Medical Group CurrentSince Aug 1, 2022 Accepting new patients
Nephrology Associates of Lancaster LTD CurrentSince Jul 26, 2016 Accepting new patients
Lancaster General Hospital CurrentSince Jan 2, 2018 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

609 N Cherry St
#2
Lancaster, PA 17602
Phone (717) 290-4674

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

2102 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3600

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2110 Harrisburg Pike
Ste 310
Lancaster, PA 17601
Phone (717) 544-3232

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

73 W Church St
Stevens, PA 17578
Phone (717) 335-0327

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1770936114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 HARRISBURG PIKE",
            "address_2": "STE 310",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3232",
            "fax_number": "717-544-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 HARRISBURG PIKE",
            "address_2": "STE 310",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3232",
            "fax_number": "717-544-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKLES",
        "first_name": "DANA",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.