MRS. KATHLEEN T DASKAL (CNP) – Nurse Practitioner, NPI 1376517037

MRS. KATHLEEN T DASKAL (CNP) is a healthcare provider. based in Marietta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. RN170840 (GA). The NPI Number for MRS. KATHLEEN T DASKAL (CNP) is 1376517037

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHLEEN T DASKAL (CNP)
NPI
1376517037
Phone
(770) 793-7635
Address
100 LACY ST NW
Enumeration Date
17 February 2006
Last Update Date
28 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
2004 (22 years ago)
PAC ID
4880600725
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20060301000404
Address ID
GA301527742KE5150XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for MRS. KATHLEEN T DASKAL (CNP)

  • 100, Lacy Street Northwest, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States

    SUITE 150

    MARIETTA, GA 300601271

    Phone: (770) 793-7635

    Fax: (770) 793-7645

    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: 2006-03-01

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
I20060301000404INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What number should I use to identify MRS. KATHLEEN T DASKAL (CNP) for billing?
Administrative and clinical systems typically use NPI 1376517037 for MRS. KATHLEEN T DASKAL (CNP).
Quick check: is MRS. KATHLEEN T DASKAL (CNP) active?
Public NPPES data shows MRS. KATHLEEN T DASKAL (CNP) with an active NPI status right now.
What does the directory say MRS. KATHLEEN T DASKAL (CNP) does?
Insurance directories may phrase it differently, but here MRS. KATHLEEN T DASKAL (CNP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. KATHLEEN T DASKAL (CNP)?
MRS. KATHLEEN T DASKAL (CNP) is associated with Marietta, Georgia in the same public data insurers reference.
Who maintains MRS. KATHLEEN T DASKAL (CNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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