Individual provider Active NPI

Dane Alexander Darnell, PA-C

  • Medical Physician Assistant
  • MC Kees Rocks, PA
National Provider Identifier
1972015154
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA059507 Issued in PA
Practice address
596 Pine Hollow Rd
MC Kees Rocks, PA 15136-1661
Phone
(412) 875-5275
Fax
(412) 679-7051
NPI assigned
Oct 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA059507 PA Primary

Addresses

Primary practice location

596 Pine Hollow Rd
MC Kees Rocks, PA 15136-1661

Mailing address

596 Pine Hollow Rd
MC Kees Rocks, PA 15136-1661
Phone (412) 875-5275

Other identifiers 1

IdentifierTypeStateIssuer
MA-059507OtherPAPENNSYLVANIA STATE LICENSURE

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
I20180321000711 PA Practitioner - Physician Assistant 7618239195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Altheda PC 3 clinicians

Practice addresses (Care Compare)

596 Pine Hollow Rd
MC Kees Rocks, PA 15136-1661
Phone (412) 679-7050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA059507PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Mar 5, 2018 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Mar 5, 2018 Accepting new patients
Steel City South Pediatrics PastSince Mar 1, 2026 Accepting new patients

Locations

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 5

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": "1509148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1972015154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 PINE HOLLOW RD",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361661",
            "telephone_number": "412-875-5275",
            "fax_number": "412-679-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 PINE HOLLOW RD",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361661",
            "telephone_number": "412-875-5275",
            "fax_number": "412-679-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARNELL",
        "first_name": "DANE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-28",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE LICENSURE",
            "identifier": "MA-059507",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Kees Rocks, PA

Sources for this page

Verify at the official NPI Registry.