Meredith Dalton

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA.0007151 Issued in CO

Practice address

4743 Arapahoe Ave Ste 201
Boulder, CO 80303-1128

Phone

(303) 442-2395

Fax

(303) 442-1073

NPI assigned

Dec 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, TX2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233
  Medicare reassignment Care Compare group
• Boulder Community Health

  • General Acute Care Hospital
  • Boulder, CO
  • NPI 1821074196
  Medicare reassignment
• Boulder Community Health

  dba Community Medical Assoc of B.C.H.

  • Medical Specialty Clinic/Center
  • Longmont, CO
  • NPI 1598313553
  NPD
• Boulder Community Health

  dba Community Medical Assoc of BCH

  • Primary Care Clinic/Center
  • Boulder, CO
  • NPI 1740837137
  NPD
• Seton Family of Doctors

  dba Ascension Texas Imaging

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Kyle, TX
  • NPI 1730412388
  NPD
• Boulder Community Health

  dba Community Medical Associates of BCH

  • Medical Specialty Clinic/Center
  • Boulder, CO
  • NPI 1407685498
  NPD (past)
• Boulder Community Health

  dba Community Medical Associates of BCH

  • Multi-Specialty Clinic/Center
  • Boulder, CO
  • NPI 1609822030
  NPD (past)

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1750702981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9049",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803019049",
            "telephone_number": "303-442-2395",
            "fax_number": "303-442-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE STE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031128",
            "telephone_number": "303-442-2395",
            "fax_number": "303-442-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18099 Lorain Ave",
            "address_2": "Suite 408",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44111",
            "country_code": "US",
            "telephone_number": "216-476-7310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Erie Pkwy Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "CO",
            "postal_code": "805164072",
            "country_code": "US",
            "telephone_number": "303-442-2395",
            "fax_number": "303-442-1073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W South Boulder Rd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262089",
            "country_code": "US",
            "telephone_number": "303-442-2395",
            "fax_number": "303-442-1073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Ken Pratt Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805016568",
            "country_code": "US",
            "telephone_number": "303-442-2395",
            "fax_number": "303-442-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALTON",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "1113507",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0007151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Anne Dahl, PHARMD
• Dakota Ridge Family Medicine, PC
• Alexis Dalager, AUD
• Rachel Dale, PHD
• Molly Elizabeth Dalpes
• John Daly
• Kathleen Daly, M.D.
• Dan P. McLellan LTD
• Dan P. McLellan LTD (McLellan Homecare)
• Dandelion Services, LLC

• Surgical Physician Assistant in Boulder, CO
• Providers in Boulder, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.

Verify at the official NPI Registry.