LAURA DIMATTIA AGACNP-BC
NPI 1477277754
Nurse Practitioner - Acute Care in Wynnewood, PA

Active since September 29, 2022PECOS EnrolledAccepts Medicare Assignment
100 E LANCASTER AVE, HEART PAVILION MEZZANINE LEVEL, WYNNEWOOD, PA 19096(484) 476-1000(484) 476-9000 Get Directions Write a Review

NPPES record last updated: February 7, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 7, 2026, Dec 3, 2025, Oct 13, 2022 and 1 more (4 updates tracked since 2022).

About Laura Dimattia Agacnp-bc NPPES

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

LAURA DIMATTIA AGACNP-BC (NPI 1477277754) is an individual acute care provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (SP024816) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477277754
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLAURA DIMATTIACredential: AGACNP-BC
Location Address100 E LANCASTER AVE, HEART PAVILION MEZZANINE LEVELWynnewood, PA 19096-3450
Mailing Address3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336 · (484) 476-1000 · Fax (484) 476-9000
Fax(484) 476-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 29, 2022
Last NPPES UpdateFebruary 7, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2026
NPI 1477277754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in PA · SP024816
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP024816 (PA)
100 E LANCASTER AVE, Wynnewood, PA 19096

Secondary Practice Locations 2

Location 151 N 39th StPhiladelphia, PA 19104-2640 · Phone (610) 405-0168
Location 21600 Haddon AveCamden, NJ 08103-3101 · Phone (856) 668-8818

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

Laura Dimattia Agacnp-bc 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 ID8729428529
PECOS Enrollment IDI20240426001537
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.

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 20

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

Internal Medicine
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION, SUITE 4303
WYNNEWOOD, PA 19096
Pharmacist
100 E LANCASTER AVE, SUITE #12
WYNNEWOOD, PA 19096
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION STE 4303
WYNNEWOOD, PA 19096
Nurse Anesthetist, Certified Registered
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Hospitalist
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096

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 Laura Dimattia's NPI number?

The NPI number for Laura Dimattia is 1477277754. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Where is Laura Dimattia located?

Laura Dimattia practices at 100 E Lancaster Ave Heart Pavilion Mezzanine Level, Wynnewood, PA 19096. The listed phone number is (484) 476-1000.

What is Laura Dimattia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Laura Dimattia enrolled in Medicare?

Yes. Laura Dimattia 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.

Is Laura Dimattia affiliated with any hospitals?

According to CMS data, Laura Dimattia is affiliated with Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Laura Dimattia was last updated on February 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.