DANAE O'HALLORAN – Family Nurse Practitioner, NPI 1003776915

DANAE O'HALLORAN is a healthcare provider. based in Lakewood ranch, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11042233 (FL). The NPI Number for DANAE O'HALLORAN is 1003776915

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
DANAE O'HALLORAN
NPI
1003776915
Phone
(908) 910-1100
Address
17740 SAVORY MIST CIR
Enumeration Date
13 November 2025
Last Update Date
13 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9412421929
Graduation Year
2025 (1 year ago)
PAC ID
3375029127
Group Practice PAC ID
2062562713
Professional Enrollment ID
I20260112000931
Address ID
FL342023785BR8610XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DANAE O'HALLORAN

  • 17740 SAVORY MIST CIR

    LAKEWOOD RANCH, FL 342115564

    Phone: (908) 910-1100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260112000931INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062562713View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineFL
Nurse PractitionerFL
Physician AssistantKY
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
P A T H O L O G YFL
Nurse PractitionerFL
General Surgery, Colorectal Surgery (Proctology)FL

Reviews

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Frequently asked questions

How is DANAE O'HALLORAN identified in CMS data?
CMS-hosted NPPES data lists DANAE O'HALLORAN with NPI 1003776915.
Does the file indicate DANAE O'HALLORAN is practicing under active NPI?
Directory data currently reports DANAE O'HALLORAN as active.
What is DANAE O'HALLORAN best known for clinically?
Directory data describes DANAE O'HALLORAN with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is DANAE O'HALLORAN based?
DANAE O'HALLORAN is tied to Lakewood Ranch, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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