Individual provider Active NPI

Lacey M Dorward, CRNP

  • Nurse Practitioner
  • Bryn Mawr, PA
National Provider Identifier
1982363784
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP024922 Issued in PA
Practice address
130 S Bryn Mawr Ave Ste 4C
Bryn Mawr, PA 19010-3121
Phone
(484) 337-4097
Fax
(484) 337-4082
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP024922 PA Primary

Addresses

Primary practice location

130 S Bryn Mawr Ave Ste 4C
Bryn Mawr, PA 19010-3121

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 337-1530

Other practice location 1

1097B N Church St
Hazle Township, PA 18202-1465
Phone (484) 226-6434

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
I20230915001398 PA Practitioner - Nurse Practitioner 0648634261 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Luke'S HospitalGroup PAC ID 0648189688, 100 clinicians

Practice addresses (Care Compare)

1104 N St
St Luke'S Care Now
Jim Thorpe, PA 18229-1717
Phone (570) 325-2400

614 Delaware Ave
St. Luke'S Care Now Palmerton
Palmerton, PA 18071-2003
Phone (484) 822-5320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Hospital CurrentSince Sep 30, 2023 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Sep 30, 2023 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Sep 30, 2023 Accepting new patients
St. Luke'S Hosptial CurrentSince Sep 30, 2023 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. CurrentSince Sep 30, 2023 Accepting new patients
Main Line Healthcare Nurse Practitioner CurrentSince Aug 23, 2023 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Sep 30, 2023 Accepting new patients
St. Luke'S Quakertown Hospital Current Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Sep 30, 2023 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Sep 30, 2023 Accepting new patients
St. Luke'S Hospital CurrentSince Sep 30, 2023 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Sep 30, 2023 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Current Accepting new patients
GSL Hospital CurrentSince Sep 30, 2023 Accepting new patients
St. Luke'S Hospital Current Accepting new patients
Tower Health Medical Group Past Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

130 S Bryn Mawr Ave
Ste 4C
Bryn Mawr, PA 19010
Phone (484) 337-4097

130 S Bryn Mawr Ave
Rm 459
Bryn Mawr, PA 19010

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1097B N Church St
Hazle Township, PA 18202
Phone (272) 639-5650

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

100 E Lancaster Ave
Ste 4303
Wynnewood, PA 19096
Phone (484) 476-6421

Interoperability endpoints

  • Direct secure messaging: lacey.garner@slpg.direct-sluhn.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1982363784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336",
            "telephone_number": "484-337-1530",
            "fax_number": "484-337-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BRYN MAWR AVE STE 4C",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103121",
            "telephone_number": "484-337-4097",
            "fax_number": "484-337-4082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1097B N Church St",
            "address_purpose": "LOCATION",
            "city": "Hazle Township",
            "state": "PA",
            "postal_code": "182021465",
            "country_code": "US",
            "telephone_number": "484-226-6434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORWARD",
        "first_name": "LACEY",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.