Individual provider Active NPI

Dale A Volquartsen, MD

  • Pediatrics Physician
  • Defuniak Springs, FL
National Provider Identifier
1841250594
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME151460 Issued in FL
Practice address
1045 US Highway 331 S
Defuniak Springs, FL 32435-3379
Phone
(850) 892-3366
Fax
(850) 863-8548
NPI assigned
Mar 26, 2006
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME151460 FL Primary

Addresses

Primary practice location

1045 US Highway 331 S
Defuniak Springs, FL 32435-3379

Mailing address

1005 Mar Walt Dr
Administration
Fort Walton Beach, FL 32547-6707
Phone (850) 863-8150

Other identifiers 1

IdentifierTypeStateIssuer
112939400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220106002634 FL Practitioner - Pediatric Medicine 3173701174 Reassigns benefits to 1 organization
I20260523000054 NE Practitioner - Pediatric Medicine 3173701174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

601 W Leota
North Platte, NE 69101-6525

601 W Leota St
North Platte, NE 69101-6525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME151460FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White-Wilson Medical Center PA CurrentSince Jan 29, 2022 Accepting new patients

Locations

130 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-8725

1045 US Highway 331 S
Ste D
Defuniak Springs, FL 32435
Phone (850) 892-3366

1045 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-1345

1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100

Interoperability endpoints

  • Direct secure messaging: dale.volquartsen.1@21123.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1143331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1841250594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DR",
            "address_2": "ADMINISTRATION",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476707",
            "telephone_number": "850-863-8150",
            "fax_number": "850-863-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 US HIGHWAY 331 S",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324353379",
            "telephone_number": "850-892-3366",
            "fax_number": "850-863-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLQUARTSEN",
        "first_name": "DALE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME151460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112939400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Defuniak Springs, FL

Sources for this page

Verify at the official NPI Registry.