DARLA DANE NP
NPI 1417619214
Nurse Practitioner in Grand Rapids, MI

Q: What is Darla Dane's NPI number?

The NPI number for Darla Dane is 1417619214. It was assigned to this individual provider in the NPPES registry on October 8, 2021.

Q: What is Darla Dane's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Darla Dane was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 08, 2021PECOS Enrolled

710 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546(419) 973-9484 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2024, Aug 21, 2024, Oct 8, 2021 (3 updates tracked since 2021).

On this page

About Darla Dane Np NPPES

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

DARLA DANE NP (NPI 1417619214) is an individual nurse practitioner in Grand Rapids, Michigan, licensed in Arizona (290478) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417619214

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDARLA DANECredential: NP

Location Address710 KENMOOR AVE SE STE 100Grand Rapids, MI 49546-2379

Mailing Address710 Kenmoor Ave Se Ste 100Grand Rapids, MI 49546-2379 · (616) 421-9387

Phone(419) 973-9484

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 8, 2021

Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2024

✔ NPI 1417619214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in AZ · 290478✔ Licensed in OH · 0030094✔ Licensed in MI · 4704356150

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.

710 KENMOOR AVE SE STE 100, Grand Rapids, MI 49546

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Darla Dane Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092100990

PECOS Enrollment IDI20220310002561

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 Reassignments

Medicare enrollment records show Darla Dane reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Burke Group Counseling & Consulting Professionals LLC

11 mi

Clinical

4301 CANAL ST, SUITE M
Grandville, MI 49418

Reassigned Medicare billing, Michigan enrollment
30 clinicians in this Medicare group

NPI 1639593627 (616) 222-0631

Brighter Day Oh LLC

246 mi

Professional

21 E STATE ST STE 200
Columbus, OH 43215

Reassigned Medicare billing, Ohio enrollment
39 clinicians in this Medicare group

NPI 1780449140 (203) 568-6065

Thrive Counseling LLC

511 mi

Mental Health

1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504

Reassigned Medicare billing, Michigan enrollment
123 clinicians in this Medicare group

NPI 1215181300 (855) 284-7483

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 10

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

CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.

Pharmacy (Community/Retail Pharmacy)