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ALTAIRA ANNE LAVERDA CRNP
NPI 1003641671
Nurse Practitioner in Wynnewood, PA

Active since September 04, 2024PECOS EnrolledAccepts Medicare Assignment
306 E LANCASTER AVE STE 200, WYNNEWOOD, PA 19096(484) 565-1293(484) 476-7855 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 18, 2025, Sep 4, 2024 (2 updates tracked since 2024).

About Altaira Anne Laverda Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTAIRA ANNE LAVERDA CRNP (NPI 1003641671) is an individual nurse practitioner in Wynnewood, Pennsylvania, licensed in Pennsylvania (SP030548) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003641671
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALTAIRA ANNE LAVERDACredential: CRNP
Location Address306 E LANCASTER AVE STE 200Wynnewood, PA 19096-2100
Mailing Address3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336 · (484) 337-1632
Phone(484) 565-1293
Fax(484) 476-7855
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 4, 2024
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1003641671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP030548
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP030548 (PA)
306 E LANCASTER AVE STE 200, Wynnewood, PA 19096
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Altaira Anne Laverda Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587195607
PECOS Enrollment IDI20241001000315
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Altaira Laverda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Main Line Healthcare
6.8 mi
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
NPI 1922077643 (484) 337-1585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAIN LINE HEALTHCARE
Clinic/Center (Urgent Care)
306 E LANCASTER AVE STE 200
WYNNEWOOD, PA 19096
Montgomery County (484) 565-1293
DR. ROBYN J BARON D.O.
Family Medicine
306 E LANCASTER AVE STE 200
WYNNEWOOD, PA 19096
Montgomery County (484) 565-1293
JENNIFER CONNORS FNP
Nurse Practitioner (Family)
306 E LANCASTER AVE STE 200
WYNNEWOOD, PA 19096
Montgomery County (484) 565-1293

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Altaira Laverda's NPI number?

The NPI number for Altaira Laverda is 1003641671. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Where is Altaira Laverda located?

Altaira Laverda practices at 306 E Lancaster Ave Ste 200, Wynnewood, PA 19096. The listed phone number is (484) 565-1293.

What is Altaira Laverda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Altaira Laverda enrolled in Medicare?

Yes. Altaira Laverda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Altaira Laverda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Altaira Laverda reassigns Medicare benefits to Main Line Healthcare (Newtown Square, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Altaira Laverda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Altaira Laverda affiliated with any hospitals?

According to CMS data, Altaira Laverda is affiliated with Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Altaira Laverda was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.