Individual provider Active NPI

Dale Eugene Stogdill Jr., ARNP-C

  • Family Nurse Practitioner
  • Red Oak, IA
National Provider Identifier
1750949111
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A154701 Issued in IA
Practice address
2301 Eastern Ave
Red Oak, IA 51566-1300
Phone
(712) 623-7000
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A154701 IA Primary

Addresses

Primary practice location

2301 Eastern Ave
Red Oak, IA 51566-1300

Mailing address

815 7TH Ave
Shenandoah, IA 51601-1626
Phone (712) 215-2743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20190703003086 IA Practitioner - Nurse Practitioner 3274868799 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarinda Regional Health CenterGroup PAC ID 4587573993, shared by 5 NPIs, 46 clinicians

Practice addresses (Care Compare)

220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone (712) 542-2176

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154701IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarinda Regional Health Center Current Accepting new patients
Clarinda Regional Health Center Current Accepting new patients
Clarinda Regional Health Center CurrentSince Sep 21, 2019 Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

Organizations & group practices 3

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 5

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1750949111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 7TH AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516011626",
            "telephone_number": "712-215-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 EASTERN AVE",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661300",
            "telephone_number": "712-623-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOGDILL",
        "first_name": "DALE",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A154701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, IA

Sources for this page

Verify at the official NPI Registry.