Individual provider Active NPI

Stacey Dale, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1336848324
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R211664 Issued in MD
Practice address
540 Riverside Dr Ste 7
Salisbury, MD 21801-5352
Phone
(410) 548-3333
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R211664 MD Primary

Addresses

Primary practice location

540 Riverside Dr Ste 7
Salisbury, MD 21801-5352

Mailing address

540 Riverside Dr Ste 7
Salisbury, MD 21801-5352
Phone (410) 548-3333

Other identifiers 1

IdentifierTypeStateIssuer
R211664OtherMDMARYLAND BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240918004130 MD Practitioner - Nurse Practitioner 8527433861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cove Recovery, LLCGroup PAC ID 4688710841, 8 clinicians

Practice addresses (Care Compare)

540 Riverside Dr
Suite 7
Salisbury, MD 21801-5352
Phone (410) 548-3333

828 Airpax Rd
Unit 300
Cambridge, MD 21613-6401
Phone (410) 548-3333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R211664MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cove Recovery, LLC CurrentSince Jun 29, 2024 Accepting new patients
Cove Recovery, LLC CurrentSince Jun 29, 2024 Accepting new patients

Locations

540 Riverside Dr
Ste 7
Salisbury, MD 21801
Phone (410) 548-3333

540 Riverside Dr
Ste 8
Salisbury, MD 21801
Phone (410) 548-3333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1336848324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 RIVERSIDE DR STE 7",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015352",
            "telephone_number": "410-548-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 RIVERSIDE DR STE 7",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015352",
            "telephone_number": "410-548-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "STACEY",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R211664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF NURSING",
            "identifier": "R211664",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.