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DONNALEE M DALE AGNP-C
NPI 1073206603
Nurse Practitioner in Philadelphia, PA

Active since May 30, 2023PECOS Enrolled
3702 MECHANICSVILLE PL, PHILADELPHIA, PA 19154(267) 408-7514 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2024, May 30, 2023 (2 updates tracked since 2023).

About Donnalee M Dale Agnp-c NPPES

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

DONNALEE M DALE AGNP-C (NPI 1073206603) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP027552) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1073206603
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDONNALEE M DALECredential: AGNP-C
Location Address3702 MECHANICSVILLE PLPhiladelphia, PA 19154-2011
Mailing Address3702 Mechanicsville PlPhiladelphia, PA 19154-2011 · (267) 408-7514
Phone(267) 408-7514
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 30, 2023
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1073206603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in PA · SP027552✔ Licensed in NJ · 26NJ14906900
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3702 MECHANICSVILLE PL, Philadelphia, PA 19154
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donnalee M Dale Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416416631
PECOS Enrollment IDI20260827005382
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.

Medicare Billing Reassignment

Medicare enrollment records show Donnalee Dale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Care Associates Of The University Of Pennsylvania Health Syst
15 mi
Hospitalist
150 MONUMENT RD FL 4
Bala Cynwyd, PA 19004
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
  • 983 clinicians in this Medicare group
NPI 1790737468 (610) 239-2871

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19154 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donnalee Dale's NPI number?

The NPI number for Donnalee Dale is 1073206603. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Donnalee Dale located?

Donnalee Dale practices at 3702 Mechanicsville Pl, Philadelphia, PA 19154. The listed phone number is (267) 408-7514.

What is Donnalee Dale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Donnalee Dale enrolled in Medicare?

Yes. Donnalee Dale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donnalee Dale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donnalee Dale reassigns Medicare benefits to Clinical Care Associates Of The University Of Pennsylvania Health Syst (Bala Cynwyd, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donnalee Dale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donnalee Dale was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.