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DALE SUMILANG
NPI 1154938744
Nurse Practitioner - Acute Care in Providence, RI

Active since September 28, 2020PECOS EnrolledAccepts Medicare Assignment
111 CHESTNUT ST, PROVIDENCE, RI 02903(401) 262-9964 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, Mar 31, 2021, Sep 28, 2020 (3 updates tracked since 2020).

About Dale Sumilang NPPES

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

DALE SUMILANG (NPI 1154938744) is an individual acute care provider in Providence, Rhode Island, licensed in Rhode Island (APRN02624) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Roger Williams Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154938744
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDALE SUMILANG
Location Address111 CHESTNUT STProvidence, RI 02903-4169
Mailing Address111 Chestnut StProvidence, RI 02903-4169 · (401) 262-9964
Phone(401) 262-9964
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 28, 2020
Last NPPES UpdateDecember 4, 20243 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1154938744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in RI · APRN02624
Also ListedRegistered NurseTaxonomy 163W00000X · License RN50764 (RI)
111 CHESTNUT ST, Providence, RI 02903
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dale Sumilang is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284042714
PECOS Enrollment IDI20210421001301
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Roger Williams Medical Center

Acute Care Hospitals · Providence, RI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number410004
Location825 Chalkstone AvenueProvidence, RI 02908 · Providence County
Emergency services

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 4

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

AYLA ASA TEITELBUAM D.AC.
Acupuncturist
111 CHESTNUT ST, LOWER LEVEL
PROVIDENCE, RI 02903
Providence County (401) 368-5940
MOHAMED ELHAMAMSY
Dentist (General Practice)
111 CHESTNUT ST
PROVIDENCE, RI 02903
Providence County (401) 443-4007
EAST COAST ACUPUNCTURE & HERBS, LLC
Acupuncturist
111 CHESTNUT ST, LOWER LEVEL B
PROVIDENCE, RI 02903
Providence County (401) 437-6633
HENDRIEKA A. FITZPATRICK M.D.
Family Medicine
111 CHESTNUT ST
PROVIDENCE, RI 02903
Providence County (833) 824-6633

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 Dale Sumilang's NPI number?

The NPI number for Dale Sumilang is 1154938744. It was assigned to this individual provider in the NPPES registry on September 28, 2020.

Where is Dale Sumilang located?

Dale Sumilang practices at 111 Chestnut St, Providence, RI 02903. The listed phone number is (401) 262-9964.

What is Dale Sumilang's specialty?

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

Is Dale Sumilang enrolled in Medicare?

Yes. Dale Sumilang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Dale Sumilang affiliated with any hospitals?

According to CMS data, Dale Sumilang is affiliated with Roger Williams Medical Center and Our Lady Of Fatima Hospital.

When was this NPI record last updated?

The NPPES record for Dale Sumilang was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.