DANIELLE LOUISE SPADAFORA FNP-BC
NPI 1699215889
Nurse Practitioner - Family in Quakertown, PA

Active since March 07, 2017PECOS EnrolledAccepts Medicare Assignment
157 S WEST END BLVD, QUAKERTOWN, PA 18951(215) 538-4930 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2025, Oct 12, 2022 (2 updates tracked since 2022).

About Danielle Louise Spadafora Fnp-bc NPPES

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

DANIELLE LOUISE SPADAFORA FNP-BC (NPI 1699215889) is an individual family provider in Quakertown, Pennsylvania, licensed in Pennsylvania (SP017299) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lebanon, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1699215889
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANIELLE LOUISE SPADAFORACredential: FNP-BC
Location Address157 S WEST END BLVDQuakertown, PA 18951-1140
Mailing Address1700 S Lincoln AveLebanon, PA 17042-7529 · (717) 272-6621
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 7, 2017
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1699215889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP017299
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP017299 (PA)

Secondary Practice Location 1

Location 11700 S Lincoln AveLebanon, PA 17042-7529 · Phone (717) 272-6621

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

Danielle Louise Spadafora Fnp-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 ID7214204874
PECOS Enrollment IDI20170602000087
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

10

Medicare enrollment records show Danielle Spadafora reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Assistant
701 N CLAYTON ST.
Wilmington, DE 19805
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Atlantic Physician Services Of Maryland, PC
  • 38 clinicians in this Medicare group
Neurology
8835 GERMANTOWN AVE
Philadelphia, PA 19118
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 176 clinicians in this Medicare group
Urgent Care
2650 WOODGLEN RD
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 90 clinicians in this Medicare group
Urgent Care
4620 WILLIAM PENN HIGHWAY
Murrysville, PA 15668
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 214 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2795 SULLIVANS TRL
Falls, PA 18615
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 20 clinicians in this Medicare group
Urgent Care
614A DELAWARE AVE
Palmerton, PA 18071
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Luke's Hospital
  • 128 clinicians in this Medicare group
Urgent Care
487 E MOORESTOWN RD
Wind Gap, PA 18091
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Hospital-Anderson Campus
  • 104 clinicians in this Medicare group
Urgent Care
174 HARVEST LN
Pocono Summit, PA 18346
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 106 clinicians in this Medicare group
Emergency Medicine
1021 PARK AVE
Quakertown, PA 18951
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 128 clinicians in this Medicare group
Urgent Care
201 W CENTRE ST
Mahanoy City, PA 17948
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 145 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18951 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$34.17 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$12.72 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$56.98 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$13.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
157 S WEST END BLVD
QUAKERTOWN, PA 18951
Nurse Practitioner
157 S WEST END BLVD
QUAKERTOWN, PA 18951
Clinic/Center (Urgent Care)
157 S WEST END BLVD
QUAKERTOWN, PA 18951
Nurse Practitioner
157 S WEST END BLVD
QUAKERTOWN, PA 18951
Physician Assistant
157 S WEST END BLVD
QUAKERTOWN, PA 18951
Family Medicine (Sports Medicine)
157 S WEST END BLVD
QUAKERTOWN, PA 18951

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 Danielle Spadafora's NPI number?

The NPI number for Danielle Spadafora is 1699215889. It was assigned to this individual provider in the NPPES registry on March 7, 2017.

Where is Danielle Spadafora located?

Danielle Spadafora practices at 157 S West End Blvd, Quakertown, PA 18951. The listed phone number is (215) 538-4930.

What is Danielle Spadafora's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Danielle Spadafora enrolled in Medicare?

Yes. Danielle Spadafora 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 organizations bill Medicare for Danielle Spadafora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Spadafora reassigns Medicare benefits to 10 organizations: Atlantic Physician Services Of Maryland, P.C. (Wilmington, DE), Chestnut Hill Clinic Company, LLC (Philadelphia, PA), Gsl Hospital (Pottsville, PA), Medexpress Urgent Care, PC - Pennsylvania (Murrysville, PA), Rural Health Corporation Of Northeastern Pennsylvania (Falls, PA) and 5 more organizations, listed in the Medicare section above. 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 Danielle Spadafora'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 Danielle Spadafora was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.