Individual provider Active NPI

Janette E Dale, CNP

  • Acute Care Nurse Practitioner
  • Englewood, OH
National Provider Identifier
1598201584
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.020096 Issued in OH
Practice address
9000 N Main St
Englewood, OH 45415-1180
Phone
(937) 293-1622
Fax
(937) 245-6308
NPI assigned
Jan 13, 2017
Last updated
Jan 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.020096 OH Primary
Adult Health Nurse Practitioner 363LA2200X 020096 OH

Addresses

Primary practice location

9000 N Main St
Englewood, OH 45415-1180

Mailing address

6680 Poe Ave Ste 200
Dayton, OH 45414-2855
Phone (937) 280-8400

Other practice location 1

501 Atrium Dr
Middletown, OH 45005-5165
Phone (937) 293-1622

Other practice location 2

2300 Miami Valley Dr Ste 150
Centerville, OH 45459-1294
Phone (937) 293-1622

Other practice location 3

3120 Governors Place Blvd
Kettering, OH 45409-1328
Phone (937) 293-1622

Other identifiers 1

IdentifierTypeStateIssuer
0207400MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdale14146@direct.premierhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170303001980 OH Practitioner - Nurse Practitioner 6103100441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Physicians LLCGroup PAC ID 1456374859, 40 clinicians

Practice addresses (Care Compare)

9000 N Main St
Suite G 37
Englewood, OH 45415-1180
Phone (937) 293-1622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.24 of 100Reported as group
Quality
84.11
Promoting interoperability
100
Improvement activities
40
Cost
85.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.020096OHMDAcute Care Nurse Practitioner
020096OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Physicians, LLC CurrentSince Jun 12, 2017 Accepting new patients
Dayton Physicians, LLC CurrentSince Jun 12, 2017 Accepting new patients

Locations

2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

6680 Poe Ave
Ste 200
Dayton, OH 45414

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

9000 N Main St
Ste G37
Englewood, OH 45415

3120 Governors Place Blvd
Kettering, OH 45409
Phone (937) 208-6066

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1598201584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 POE AVE STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142855",
            "telephone_number": "937-280-8400",
            "fax_number": "937-245-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Atrium Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055165",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Miami Valley Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454591294",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3120 Governors Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454091328",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALE",
        "first_name": "JANETTE",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.020096",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "020096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207400",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdale14146@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "9000 N Main St",
            "city": "Englewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454151180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.