Individual provider Active NPI

Jaysen Hamilton Dale, FNP-BC

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1982309274
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13337289-4405 Issued in UT
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

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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

Enrollment IDStateProvider typePAC IDDetails
I20231018001219 UT Practitioner - Nurse Practitioner 8224483748 Reassigns benefits to 2 organizations
I20250422002038 TX Practitioner - Nurse Practitioner 8224483748

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 4, 2023 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Nov 26, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 26, 2023 Accepting new patients
Pulmonary and Critical Care Network LLC CurrentSince May 1, 2025 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.

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

Verify at the official NPI Registry.