LANA SHOMALI AGACNP
NPI 1124726385
Nurse Practitioner - Critical Care Medicine in Philadelphia, PA

Active since February 17, 2023PECOS EnrolledAccepts Medicare Assignment
1 CONVENTION AVE, PHILADELPHIA, PA 19104(215) 662-4000 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lana Shomali Agacnp NPPES

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

LANA SHOMALI AGACNP (NPI 1124726385) is an individual critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP027044) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124726385
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameLANA SHOMALICredential: AGACNP
Location Address1 CONVENTION AVEPhiladelphia, PA 19104-4311
Mailing Address7431 Walnut AvePennsauken, NJ 08109-3076 · (410) 842-3871
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 17, 2023
NPPES CertifiedFebruary 17, 2023
NPI 1124726385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License Licensed in PA · SP027044
1 CONVENTION AVE, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lana Shomali Agacnp 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 ID1658745724
PECOS Enrollment IDI20230314000421
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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 20

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

Nurse Practitioner (Adult Health)
1 CONVENTION AVE, 4 PENN TOWER
PHILADELPHIA, PA 19104
Nurse Practitioner
1 CONVENTION AVE, 4 PENN TOWER
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Hospitalist
1 CONVENTION AVE
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124726385, enumerated as an "individual" on February 17, 2023.

The provider is located at 1 CONVENTION AVE PHILADELPHIA, PA 19104 and the phone number is (215) 662-4000.

Nurse Practitioner with taxonomy code 363LC0200X and a focus in Critical Care Medicine.