1. Home
  2. Directory
  3. Illinois
  4. Granite City
  5. Nurse Practitioner
  6. NPI Profile

DALTON ALEXANDER HALM
NPI 1083403653
Nurse Practitioner - Acute Care in Granite City, IL

Active since May 01, 2025PECOS Enrolled
2100 MADISON AVE, GRANITE CITY, IL 62040(619) 798-3000 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dalton Alexander Halm NPPES

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

DALTON ALEXANDER HALM (NPI 1083403653) is an individual acute care provider in Granite City, Illinois, licensed in Illinois (209032308) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, is affiliated with Gateway Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083403653
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDALTON ALEXANDER HALM
Location Address2100 MADISON AVEGranite City, IL 62040-4713
Mailing Address3703 Franklin AveGranite City, IL 62040-3911 · (618) 567-9130
Phone(619) 798-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 1, 2025
NPPES CertifiedApril 11, 2025
✔ NPI 1083403653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 209032308
2100 MADISON AVE, Granite City, IL 62040
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dalton Alexander Halm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385159417
PECOS Enrollment IDI20250716002949
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gateway Regional Medical Center

Acute Care Hospitals · Granite City, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140125
Location2100 Madison AvenueGranite City, IL 62040 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62040 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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.

GRANITE CITY CLINIC CORP
Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
DR. JENNIFER ANNE LECHEVALIER PHARMD, RPH
Pharmacist
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
MR. WALTER P GRIFFITH P.T.
Physical Therapist
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Psychiatric Unit
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
TANYA VIETMEIER PTA
Physical Therapy Assistant
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3133
JANICE M PAUTLER RD,LD
Dietitian, Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-5082
MR. SAMUEL W GUITHUES OT
Occupational Therapist
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC
Rehabilitation Unit
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000

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 Dalton Halm's NPI number?

The NPI number for Dalton Halm is 1083403653. It was assigned to this individual provider in the NPPES registry on May 1, 2025.

Where is Dalton Halm located?

Dalton Halm practices at 2100 Madison Ave, Granite City, IL 62040. The listed phone number is (619) 798-3000.

What is Dalton Halm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Dalton Halm enrolled in Medicare?

Yes. Dalton Halm is registered in the Medicare PECOS enrollment system.

Is Dalton Halm affiliated with any hospitals?

According to CMS data, Dalton Halm is affiliated with Gateway Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Dalton Halm was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.