DANIJELA PANDZA
NPI 1043626559
Nurse Practitioner - Family in Conneautville, PA
About Danijela Pandza NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIJELA PANDZA (NPI 1043626559) is an individual family provider in Conneautville, Pennsylvania, licensed in Pennsylvania (SP013596) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Danijela Pandza 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.
Medicare Billing Reassignment
Medicare enrollment records show Danijela Pandza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Health- Northeast
Acute Care Hospitals · Philadelphia, PAPaoli Hospital
Acute Care Hospitals · Paoli, PAThomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Danijela Pandza's NPI number?
The NPI number for Danijela Pandza is 1043626559. It was assigned to this individual provider in the NPPES registry on July 3, 2014.
Where is Danijela Pandza located?
Danijela Pandza practices at 906 Washinton Street, Conneautville, PA 16406. The listed phone number is (814) 373-2276.
What is Danijela Pandza's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Danijela Pandza enrolled in Medicare?
Yes. Danijela Pandza 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 Danijela Pandza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danijela Pandza reassigns Medicare benefits to Jefferson University Physicians (Philadelphia, 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 Danijela Pandza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Danijela Pandza accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Danijela Pandza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Danijela Pandza affiliated with any hospitals?
According to CMS data, Danijela Pandza is affiliated with Jefferson Health- Northeast, Paoli Hospital and Thomas Jefferson University Hospital.
When was this NPI record last updated?
The NPPES record for Danijela Pandza was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Danijela Pandza · NPI 1043626559
Family physician in Conneautville, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 3, 2014.
## Identity
- **NPI:** 1043626559 (Entity type: Individual)
- **Enumerated:** July 3, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP013596 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 906 WASHINTON STREET, Conneautville, PA 16406
- **Phone:** (814) 373-2276 · **Fax:** (814) 333-5781
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Jefferson University Physicians (NPI 1326093675, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** November 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1043626559) · Data from the CMS NPPES public registry.