Active NPI
Dale Allen Nelson, PA-C
- Physician Assistant
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3908 10TH St SE
Puyallup, WA 98374-2188 - Phone
- (253) 848-5951
- Fax
- (253) 845-7073
- NPI assigned
- Jul 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3908 10TH St SE
Puyallup, WA 98374-2188
Mailing address
3908 10TH St SE
Puyallup, WA 98374-2188
Phone (253) 848-5951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10004 204TH Ave E
Suite 3400
Bonney Lake, WA 98391-6536
Phone (253) 848-5951
11216 Sunrise Blvd E
Suite 3 106
Puyallup, WA 98374-8848
Phone (253) 848-5951
15870 1St Ave S
Suite 101
Burien, WA 98148-1301
Phone (206) 242-2501
222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788
311 S L St
Tacoma, WA 98405-3720
321 Ramsay Way
Suite 104
Kent, WA 98032-4544
Phone (253) 372-7960
345 Cooper Point Rd NW
Suite 103
Olympia, WA 98502-4461
Phone (360) 763-7515
3908 10TH St SE
Puyallup, WA 98374-2188
Phone (253) 848-5951
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
5058 Main St
Suite 100
Tacoma, WA 98407-3148
Phone (253) 533-6770
611 31St Ave SW
Suite C
Puyallup, WA 98373-3723
Phone (253) 848-5951
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- St Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- dnelson34882@direct.tecmc.com
Organizations & group practices 6
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Family Medicine Physician
- Puyallup, WA
- NPI 1538253331
-
- Urgent Care Clinic/Center
- Bellevue, WA
- NPI 1689249096
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Community/Behavioral Health Agency
- Auburn, WA
- NPI 1861872178
-
- Urgent Care Clinic/Center
- Oro Valley, AZ
- NPI 1396317079
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1376856385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3908 10TH ST SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983742188",
"telephone_number": "253-848-5951",
"fax_number": "253-845-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3908 10TH ST SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983742188",
"telephone_number": "253-848-5951",
"fax_number": "253-845-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DALE",
"middle_name": "ALLEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-19",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.