MRS. DENA CAPLAN CPNP, PMHNP-BC, CBC
NPI 1679838213
Nurse Practitioner - Psychiatric/Mental Health in Pottstown, PA

Active since July 10, 2012PECOS Enrolled
800 HERITAGE DR, POTTSTOWN, PA 19464(610) 326-8660(484) 945-9404 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Dena Caplan Cpnp, Pmhnp-bc, Cbc NPPES

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

MRS. DENA CAPLAN CPNP, PMHNP-BC, CBC (NPI 1679838213) is an individual psychiatric/mental health provider in Pottstown, Pennsylvania, licensed in Pennsylvania (SP027411) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wayne.

NPPES Registry Identity

NPI1679838213
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. DENA CAPLANCredential: CPNP, PMHNP-BC, CBC
Location Address800 HERITAGE DRPottstown, PA 19464-9220
Mailing Address800 Heritage DrPottstown, PA 19464-9220 · Fax (484) 945-9404
Fax(484) 945-9404
Sole ProprietorNo
Enumeration DateJuly 10, 2012
Last NPPES UpdateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
✔ NPI 1679838213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP027411
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License SP011954 (PA)
800 HERITAGE DR, Pottstown, PA 19464

Secondary Practice Location 1

Location 1487 Devon Park Dr Ste 207Wayne, PA 19087-1808 · Phone (610) 892-3800

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Dena Caplan Cpnp, Pmhnp-bc, Cbc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Dena Caplan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1055 E BALTIMORE PIKE STE 303
Media, PA 19063
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 353 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
133 W HUNTING PARK AVE
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 23 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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 8

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

Dentist (General Practice)
800 HERITAGE DR, SIUTE 802
POTTSTOWN, PA 19464
Dentist
800 HERITAGE DR, SUITE 811
POTTSTOWN, PA 19464
Pediatrics
800 HERITAGE DR, SUITE 820
POTTSTOWN, PA 19464
Counselor (Professional)
800 HERITAGE DR
POTTSTOWN, PA 19464
Dentist (General Practice)
800 HERITAGE DR, SUITE 811
POTTSTOWN, PA 19464
Counselor (Mental Health)
800 HERITAGE DR
POTTSTOWN, PA 19464
Clinic/Center (Federally Qualified Health Center (FQHC))
800 HERITAGE DR, SUITE 802
POTTSTOWN, PA 19464
Nurse Practitioner (Pediatrics)
800 HERITAGE DR, SUITE 820
POTTSTOWN, PA 19464

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 Dena Caplan's NPI number?

The NPI number for Dena Caplan is 1679838213. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Dena Caplan located?

Dena Caplan practices at 800 Heritage Dr, Pottstown, PA 19464. The listed phone number is (610) 326-8660.

What is Dena Caplan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dena Caplan enrolled in Medicare?

Yes. Dena Caplan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dena Caplan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dena Caplan reassigns Medicare benefits to 2 organizations: Delaware County Professional Services, Inc (Media, PA) and Fair Hill Community Physicians (Philadelphia, PA). Each 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 Dena Caplan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dena Caplan was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.