Active NPI
Jaysen Hamilton Dale, FNP-BC
- Family Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13337289-4405
- Practice address
- 9353 Elam Rd
Dallas, TX 75217-4181 - Phone
- (699) 432-9334
- NPI assigned
- Apr 4, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13337289-4405 | UT | Primary |
| Registered Nurse | 163W00000X | 10316494-3102 | UT |
Addresses
Primary practice location
9353 Elam Rd
Dallas, TX 75217-4181
Mailing address
9353 Elam Rd
Dallas, TX 75217-4181
Phone (699) 432-9334
Other practice location 1
1380 E Medical Center Dr
Saint George, UT 84790-2123
Phone (435) 251-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Pulmonary and Critical Care Network LLC | Current | Accepting new patients |
Locations
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1611 N Belt Line Rd
Ste C
Mesquite, TX 75149
Phone (972) 288-3471
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Pulmonary Disease Physician
- Mesquite, TX
- NPI 1023561909
-
- Obstetrics & Gynecology Physician
- Logan, UT
- NPI 1013045384
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1982309274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9353 ELAM RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752174181",
"telephone_number": "699-432-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9353 ELAM RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752174181",
"telephone_number": "699-432-9334"
}
],
"practiceLocations": [
{
"address_1": "1380 E Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Saint George",
"state": "UT",
"postal_code": "847902123",
"country_code": "US",
"telephone_number": "435-251-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALE",
"first_name": "JAYSEN",
"middle_name": "HAMILTON",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-04",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "13337289-4405",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "10316494-3102",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.