Individual provider Active NPI

Dennae Dalton, PA-C

  • Medical Physician Assistant
  • Zionsville, IN
National Provider Identifier
1144494832
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10000725A Issued in IN
Practice address
6639 Whitestown Pkwy
Zionsville, IN 46077-7622
Phone
(317) 732-8980
Fax
(317) 732-8979
NPI assigned
Apr 15, 2008
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10000725A IN Primary

Addresses

Primary practice location

6639 Whitestown Pkwy
Zionsville, IN 46077-7622

Mailing address

111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864
Phone (330) 947-6021

Other practice location 1

2800 S State Road 135 Ste 250
Greenwood, IN 46143-6223
Phone (317) 300-1788

Other practice location 2

2155 E Main St
Plainfield, IN 46168-1816
Phone (855) 297-9689

Other practice location 3

1010 W 2nd St
Bloomington, IN 47403-2217
Phone (812) 200-2458

Other identifiers 1

IdentifierTypeStateIssuer
P00478874OtherINRAILROAD MEDICARE

Other names 1

  • Dennae Noblitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050210000594 IN Practitioner - Physician Assistant 3173575891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Dermatology LLCGroup PAC ID 3971561648, 74 clinicians

Practice addresses (Care Compare)

1010 W 2ND St
Bloomington, IN 47403-2217
Phone (812) 200-2458

6639 Whitestown Pkwy
Zionsville, IN 46077-7622
Phone (317) 732-8980

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000725AINMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Advanced Dermatology and Skin Cancer Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ddalton@dermindy.emadirect.md

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1144494832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAMPSHIRE AVE STE 2",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012864",
            "telephone_number": "330-947-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6639 WHITESTOWN PKWY",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777622",
            "telephone_number": "317-732-8980",
            "fax_number": "317-732-8979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 S State Road 135 Ste 250",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461436223",
            "country_code": "US",
            "telephone_number": "317-300-1788",
            "fax_number": "317-743-8103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2155 E Main St",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IN",
            "postal_code": "461681816",
            "country_code": "US",
            "telephone_number": "855-297-9689",
            "fax_number": "603-451-6001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032217",
            "country_code": "US",
            "telephone_number": "812-200-2458",
            "fax_number": "930-200-8590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALTON",
        "first_name": "DENNAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000725A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00478874",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNAE",
            "last_name": "NOBLITT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.