Individual provider Active NPI

Laura Ann Vandenberg

  • Family Nurse Practitioner
  • Berwyn, PA
National Provider Identifier
1831859834
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025073 Issued in PA
Practice address
1055 Westlakes Dr Ste 3152
Berwyn, PA 19312-2410
Phone
(212) 346-6050
Fax
(212) 220-3562
NPI assigned
Dec 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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 SP025073 PA Primary

Addresses

Primary practice location

1055 Westlakes Dr Ste 3152
Berwyn, PA 19312-2410

Mailing address

142 Wildflower CT
Elverson, PA 19520-5004
Phone (848) 888-5867

Other practice location 1

142 Wildflower Ct
Elverson, PA 19520-5004
Phone (148) 488-8586

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
I20220728000526 PA Practitioner - Nurse Practitioner 4486036134 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
77.19
Promoting interoperability
98
Improvement activities
40
Cost
79.03

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP025073PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince May 1, 2025 Accepting new patients
Reading Hospital CurrentSince May 1, 2024 Accepting new patients
Reading Hospital CurrentSince May 1, 2024 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince May 1, 2025 Accepting new patients
Tower Health Medical Group CurrentSince Aug 1, 2022 Accepting new patients
Reading Hospital Current Accepting new patients
Tower Health Medical Group CurrentSince Aug 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 17, 2023 Accepting new patients
Tower Health Medical Group Current Accepting new patients

Locations

1055 Westlakes Dr
Ste 3152
Berwyn, PA 19312
Phone (215) 246-6050

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

301 S 7th Ave
Ste 2020
West Reading, PA 19611

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 10

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": "1639872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1831859834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 WILDFLOWER CT",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "195205004",
            "telephone_number": "848-888-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 WESTLAKES DR STE 3152",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122410",
            "telephone_number": "212-346-6050",
            "fax_number": "212-220-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Wildflower Ct",
            "address_purpose": "LOCATION",
            "city": "Elverson",
            "state": "PA",
            "postal_code": "195205004",
            "country_code": "US",
            "telephone_number": "148-488-8586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDENBERG",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-19",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

Verify at the official NPI Registry.