Individual provider Active NPI

Gabrielle Dalton, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chester, PA
National Provider Identifier
1063292415
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP028361 Issued in PA
Practice address
301 W 15TH St
Chester, PA 19013-5300
Phone
(484) 577-8839
Fax
(866) 286-4935
NPI assigned
Oct 3, 2023
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP028361 PA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN606854 PA

Addresses

Primary practice location

301 W 15TH St
Chester, PA 19013-5300

Mailing address

301 W 15TH St
Chester, PA 19013-5300
Phone (484) 577-8839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218003797 PA Practitioner - Nurse Practitioner 0547619439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Treatment Network LLCGroup PAC ID 8820402993, 11 clinicians

Practice addresses (Care Compare)

1120 W Township Line Rd
Suite 200
Havertown, PA 19083-4930
Phone 8772865115101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN606854PAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 15, 2025 Accepting new patients
American Treatment Network LLC CurrentSince Apr 30, 2024 Accepting new patients
Complete Mind Care Brain Wellness PLLC PastSince Feb 23, 2025 Accepting new patients
Complete Mind Care of PA, LLC PastSince Oct 1, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

30 Medical Center Blvd
Ste 207
Chester, PA 19013
Phone (877) 286-5115

1120 W Township Line Rd
Ste 200
Havertown, PA 19083
Phone (484) 451-8313

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1063292415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 15TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135300",
            "telephone_number": "484-577-8839",
            "fax_number": "866-286-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 15TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135300",
            "telephone_number": "484-577-8839",
            "fax_number": "866-286-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "GABRIELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP028361",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN606854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.