Delores Ellen Bardales, MSN, APRN-BC

Key facts

NPI: 1295821627
Entity type: Individual (NPI type 1)
Primary specialty: Adult Health Nurse Practitioner 363LA2200X
License: COA.09079-NP (OH)
Practice address: 618 Pleasantville Rd
Suite 101
Lancaster, OH 43130-3312
Phone: (740) 653-7511
Fax: (740) 653-7512
NPI assigned: Oct 5, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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

Cardiovascular Specialists, LLC Cardiovascular Disease Physician · Lancaster, OH · NPI 1871728303

Medicare reassignment NPD OH
Cardiovascular Specialists, LLC Cardiovascular Disease Physician · Canal Winchester, OH · NPI 1073737136

NPD
Capitol City Cardiology, Inc. Cardiovascular Disease Physician · Lancaster, OH · NPI 1164646220

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH
Eligible to order & refer: Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20070621000074	OH	Practitioner - Nurse Practitioner	4486753191	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Master of Science - Nursing, Nurse Practitioner

State licenses

License	State	Type	Specialty
COA.09079-NP	OH	MD	Adult Health Nurse Practitioner

Practice roles

Organization	Status	New patients
Cardiovascular Specialists, LLC	Current since Jul 11, 2009	Accepting new patients
Cardiovascular Specialists, LLC	Current since Jul 11, 2009	Accepting new patients
Capitol City Cardiology, Inc.	Past since May 1, 2007	Accepting new patients

Locations

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

618 Pleasantville Rd
Ste 102
Lancaster, OH 43130
Phone (740) 475-0502

618 Pleasantville Rd
Ste 101
Lancaster, OH 43130
Phone (740) 475-0501

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Adult Health Nurse Practitioner	363LA2200X	COA.09079-NP	OH	Yes

Addresses

Primary practice location

618 Pleasantville Rd
Suite 101
Lancaster, OH 43130-3312

Mailing address

618 Pleasantville Rd
Suite 101
Lancaster, OH 43130-3325
Phone (740) 475-0501

Other identifiers

Identifier	Type	State	Issuer
2750394	Medicaid	OH

Other providers in Lancaster, OH

All providers in Lancaster, OH · Adult Health Nurse Practitioner in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.