Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa R. Davidavage, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1710277686

Lisa R. Davidavage, CRNP is a Nurse Practitioner in Reading, Pennsylvania. Qualified in 2010, 16 years ago. Practices with St Joseph Medical Group, a 188-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2011
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

2500 Bernville Rd
Reading, PA 19605-9453
Phone: (610) 378-2000
Fax: (610) 378-2799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 Keystone Blvd, Pottsville, PA 17901-8982 — (570) 544-1633

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP011092 (PA)

Record details

NPI number1710277686
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedApril 13, 2011
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022
Mailing address2500 Bernville Rd, Reading, PA 19605-9453

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice St Joseph Medical Group — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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