AMELIA B DALE PA-C
NPI 1063896934
Physician Assistant - Medical in Lafayette, IN

Q: What is Amelia Dale's NPI number?

The NPI number for Amelia Dale is 1063896934. It was assigned to this individual provider in the NPPES registry on July 10, 2015. The provider is also known as Amelia B Turner Pa-C.

Q: What is Amelia Dale's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Amelia Dale was last updated on February 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 10, 2015PECOS Enrolled

2600 FERRY ST, LAFAYETTE, IN 47904(765) 448-8000 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2021, Oct 8, 2019 (2 updates tracked since 2019).

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About Amelia B Dale Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMELIA B DALE PA-C (NPI 1063896934) is an individual medical provider in Lafayette, Indiana, licensed in Indiana (10001854A) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Avon.

NPPES Registry Identity

NPI1063896934

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameAMELIA B DALECredential: PA-C

Location Address2600 FERRY STLafayette, IN 47904-3055

Mailing Address1200 W White River Blvd, Rcs Provider EnrollmentMuncie, IN 47303-4988 · (765) 254-4009

Phone(765) 448-8000

Sole ProprietorNo

Enumeration DateJuly 10, 2015

Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2021

✔ NPI 1063896934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IN · 10001854A

Also ListedPhysician AssistantTaxonomy 363A00000X · License 10001854A (IN)

2600 FERRY ST, Lafayette, IN 47904

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Other Names 1

Former Name (1)Amelia B Turner Pa-c

Secondary Practice Location 1

Location 11115 N Ronald Reagan Pkwy, Suite 206Avon, IN 46123-6911 · Phone (317) 272-8050 · Fax (317) 272-8051

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amelia B Dale Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PALLAVI RAM SHINDE PT

Physical Therapist