Dale Jeanne Lacroix, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD473007 Issued in PA

Practice address

159 Interstate Pkwy
Bradford, PA 16701-1013

Phone

(814) 362-8480

NPI assigned

Jun 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, TN, NJ, RI, NY, MS6 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 6

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (28 of 32)

Locations (25 of 33)

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: dlacroix4591382@nychhc.direct-ci.com
• Direct secure messaging: dale.lacroix@mmhs.medicity.net
• Direct secure messaging: dlacroix165680@direct-guthrie.org
• Direct secure messaging: dalelacroix@nmhs.medalliesdirect.net

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.

• Butler Medical Providers

  • Gastroenterology Physician
  • Butler, PA
  • NPI 1619493046

  PA

  Medicare reassignment NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868

  PA

  Medicare reassignment NPD
• St. Luke'S Physician Group, Inc.

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622

  PA

  Medicare reassignment NPD
• Washington Physician Services

  • Family Medicine Physician
  • Washington, PA
  • NPI 1316917669

  Obstetrics & Gynecology, PA

  Medicare reassignment NPD
• Wellspan Medical Group

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004

  PA

  Medicare reassignment NPD
• Canton-Potsdam Hospital

  • General Acute Care Hospital
  • Potsdam, NY
  • NPI 1568548782

  NY

  Medicare reassignment NPD
• Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bridgeton, NJ
  • NPI 1700816816

  NJ, Obstetrics & Gynecology

  Medicare reassignment NPD
• Lifespan Physician Group, Inc.

  • General Practice Physician
  • Providence, RI
  • NPI 1407116643

  Obstetrics & Gynecology, RI

  Medicare reassignment NPD
• North Mississippi Medical Clinics Inc

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1053469486

  MS, Obstetrics & Gynecology

  Medicare reassignment NPD
• OB Hospitalist Services New Jersey, PA

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1801169966

  NJ, Obstetrics & Gynecology

  Medicare reassignment NPD
• Obhg Pennsylvania PC

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1184124109

  Obstetrics & Gynecology, PA

  Medicare reassignment NPD
• Obhg Tennessee, P.C.

  • Obstetrics & Gynecology Physician
  • Jackson, TN
  • NPI 1285924977

  Obstetrics & Gynecology, TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1922034479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 E GOLD PANNING CT",
            "city": "COLD CANYON",
            "state": "AZ",
            "postal_code": "855185110",
            "telephone_number": "802-233-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 INTERSTATE PKWY",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011013",
            "telephone_number": "814-362-8480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Union St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147602736",
            "country_code": "US",
            "telephone_number": "716-375-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Powell Ave",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "02840",
            "country_code": "US",
            "telephone_number": "401-848-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACROIX",
        "first_name": "DALE",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VT",
            "license": "0420010133",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "62063",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD19859",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OH",
            "license": "35.144459",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD473007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen L Kinney, RN
• Paul Bruce Kirsch, M.D.
• Karen Marie Kline, CRNP
• Joyce Kratts, RN, WOCN
• Kellie J Krzos
• Delia Landy, O.D.
• Stephanie Ashley Lang, O.D.
• Nina Lau, RN
• Jonathan David Lechner, MD
• Life Care Home Services of Northwestern Pennsylvania LLP

• All providers in Bradford, PA
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.