DOROTHY IANNACO (APN) – Family Nurse Practitioner, NPI 1649269309

DOROTHY IANNACO (APN) is a healthcare provider. based in Mount laurel, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NJ00048000 (NJ). The NPI Number for DOROTHY IANNACO (APN) is 1649269309

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DOROTHY IANNACO (APN)
NPI
1649269309
Phone
(856) 355-0340
Address
2000 CRAWFORD PL STE 200
Enumeration Date
17 October 2005
Last Update Date
28 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
5193773513
Group Practice PAC ID
9830222397
Professional Enrollment ID
I20050112000060
Address ID
NJ080573130MO401XXAVEX300

Contacts

Secure Messaging
diannaco12134@directvirtua.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for DOROTHY IANNACO (APN)

  • Crawford Place, Mount Laurel Township, Burlington County, New Jersey, 08054, United States

    MOUNT LAUREL, NJ 080543954

    Phone: (856) 355-0340

    Fax: (856) 355-0330

    Type: Mailing

  • 239 HURFFVILLE CROSSKEYS RD STE 160

    SEWELL, NJ 080804005

    Phone: (856) 341-8200

    Fax: (856) 341-8215

    Type: Location

  • 555 High St Ste 16A

    Mount Holly, NJ 080601084

    Phone: (609) 444-5610

    Fax: (609) 444-5611

    Type: Location

  • 401 Young Ave Ste 180 Front

    Moorestown, NJ 08057

    Phone: (856) 291-8600

    Fax: (856) 291-8610

    Type: Location

  • 602 W Cuthbert Blvd Unit 26

    Haddon Township, NJ 081083642

    Phone: (856) 946-5180

    Fax: (856) 946-5181

    Type: Location

  • 239 Hurffville Crosskeys Rd Ste 160 Fl 1

    Sewell, NJ 08080

    Phone: (856) 341-8200

    Fax: (856) 341-8215

    Type: Location

  • 315 Route 70 E Ste B

    Cherry Hill, NJ 080342408

    Phone: (856) 375-6240

    Fax: (856) 375-6241

    Type: Location

  • 141 Bridgeton Pike Unit B

    Mullica Hill, NJ 080622615

    Phone: (856) 746-0206

    Fax: (856) 746-0207

    Type: Location

  • 315 Route 70 E Ste A

    Cherry Hill, NJ 080342408

    Phone: (856) 375-6240

    Fax: (856) 375-6241

    Type: Location

  • 128 Route 70 Ste 1

    Medford, NJ 080552371

    Phone: (609) 367-0900

    Fax: (609) 367-0901

    Type: Location

  • 158 Route 73 Ste B

    Voorhees, NJ 080439539

    Phone: (856) 247-7230

    Fax: (856) 247-7231

    Type: Location

  • 239 HURFFVILLE CROSSKEYS RD

    SUITE 160

    SEWELL, NJ 080804002

    Phone: (856) 341-8200

    Fax: (856) 341-8215

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Medtronic, Inc. ($169).

Total Amount

$191

General + Research + Ownership

Payments

2

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-01-12

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
I20050112000060INurse PractitionerNJTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6765$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2726$0
87804Detection test by immunoassay with direct visual observation for influenza virus2613$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
81002Urinalysis, manual test1212$0
View full utilization report →

Insurance plans in this area (ZIP 08054)

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Provider's Procedures

DOROTHY IANNACO (APN) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERNJ81002Urinalysis, manual test1313

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: 9830222397View full group profile

Reviews

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Frequently asked questions

What is DOROTHY IANNACO (APN)'s NPI number?
DOROTHY IANNACO (APN)'s NPI is 1649269309 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DOROTHY IANNACO (APN)?
You should see DOROTHY IANNACO (APN) as active in CMS-hosted NPPES data.
What kind of doctor is DOROTHY IANNACO (APN)?
DOROTHY IANNACO (APN) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is DOROTHY IANNACO (APN) located near Mount Laurel?
DOROTHY IANNACO (APN) currently maps to Mount Laurel, New Jersey in this extract.
What does 12 location(s) imply?
12 practice locations appear in the available data.

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