DANA D LAVERTY – Nurse Practitioner, NPI 1053756775

DANA D LAVERTY is a healthcare provider. based in Conshohocken, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP013483 (PA). The NPI Number for DANA D LAVERTY is 1053756775

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DANA D LAVERTY
NPI
1053756775
Phone
(844) 826-3446
Address
300 Conshohocken State Rd Ste 260
Enumeration Date
8 May 2013
Last Update Date
19 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4844278000
Graduation Year
2013 (13 years ago)
PAC ID
8820231814
Group Practice PAC ID
1951215201
Professional Enrollment ID
I20151015000396
Address ID
PA190732304NE3855XPIKE414
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

11,469 NURSE PRACTITIONER in PA

Provider Addresses for DANA D LAVERTY

  • 300 Conshohocken State Rd Ste 260

    Conshohocken, PA 194283820

    Phone: (844) 826-3446

    Type: Location

  • 2476 SWEDESFORD RD

    STE 150

    MALVERN, PA 193551456

    Phone:

    Type: Mailing

  • 501 W 14TH ST

    WILMINGTON, DE 198011013

    Phone: (302) 733-1000

    Type: Location

  • 3803 W CHESTER PIKE STE 160

    NEWTOWN SQUARE, PA 190732336

    Phone: (484) 337-1632

    Type: Mailing

  • 3855 W CHESTER PIKE STE 300

    NEWTOWN SQUARE, PA 190732304

    Phone: (484) 337-2585

    Type: Location

  • 501 W 14th St

    Wilmington, DE 198011013

    Phone: (302) 733-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Dexcom, Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$27
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: 2015-10-15

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
I20151015000396INurse PractitionerPATBD

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 19428)

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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: 1951215201View full group profile

Reviews

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Frequently asked questions

Does DANA D LAVERTY share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DANA D LAVERTY uses 1053756775.
Is DANA D LAVERTY listed as active for patients and plans?
The listing shows DANA D LAVERTY as active in the NPI system.
What is DANA D LAVERTY's primary classification?
Nurse Practitioner is the headline specialty for DANA D LAVERTY here. Clinical services aligned with this taxonomy classification.
Does DANA D LAVERTY list a practice location?
Patients near Conshohocken, Pennsylvania may find DANA D LAVERTY in results; validate coverage separately.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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