Active NPI
Julie Ann Dale, APRN
- Acute Care Nurse Practitioner
- Saint Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2014017978
- Practice address
- 2031 Zumbehl Rd
Saint Charles, MO 63303-2723 - Phone
- (636) 206-2690
- Fax
- (636) 206-2691
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 2014017978 | MO | Primary |
Addresses
Primary practice location
2031 Zumbehl Rd
Saint Charles, MO 63303-2723
Mailing address
2031 Zumbehl Rd
Saint Charles, MO 63303-2723
Phone (636) 206-2690
Other practice location 1
1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 651-5836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
465 S Mount Auburn Rd
Suite 103
Cape Girardeau, MO 63703-4900
Phone (573) 335-2900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014017978 | MO | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRX - East Missouri Providers, P.C. | Current | Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Current | Accepting new patients | |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Mercy Southern Missouri Ambulatory Services LLC | Current | Accepting new patients | |
| Lincoln County Hospital | Past | Accepting new patients |
Locations
465 S Mount Auburn Rd
Ste 103
Cpe Girardeau, MO 63703
Phone (573) 335-2900
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
2031 Zumbehl Rd
Saint Charles, MO 63303
Phone (636) 206-2690
2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291
901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777
6055 N Main Street Rd
Webb City, MO 64870
Phone (417) 206-0400
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Cape Girardeau, MO
- NPI 1477867844
-
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Urgent Care Clinic/Center
- Springfield, MO
- NPI 1871094052
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
-
- Critical Access Hospital
- Lincoln, KS
- NPI 1942265327
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1720491301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 ZUMBEHL RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633032723",
"telephone_number": "636-206-2690",
"fax_number": "636-206-2691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 ZUMBEHL RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633032723",
"telephone_number": "636-206-2690",
"fax_number": "636-206-2691"
}
],
"practiceLocations": [
{
"address_1": "1701 Lacey St",
"address_purpose": "LOCATION",
"city": "Cape Girardeau",
"state": "MO",
"postal_code": "637015230",
"country_code": "US",
"telephone_number": "573-651-5836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALE",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MO",
"license": "2014017978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.