KELLY A DALE NP
NPI 1245420074
Nurse Practitioner - Family in Medford, OR
About Kelly A Dale Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY A DALE NP (NPI 1245420074) is an individual family provider in Medford, Oregon, licensed in California (RN665150) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Asante Rogue Regional Medical Center, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly A Dale Np 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kelly Dale reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 267 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 21 clinicians in this Medicare group
Grants Pass, OR 97527
- Reassigned Medicare billing, Oregon enrollment
- 207 clinicians in this Medicare group
Yreka, CA 96097
- Reassigned Medicare billing, California enrollment
- 64 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Asante Rogue Regional Medical Center
Acute Care Hospitals · Medford, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MEDFORD, OR 97504
MEDFORD, OR 97504
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 Kelly Dale's NPI number?
The NPI number for Kelly Dale is 1245420074. It was assigned to this individual provider in the NPPES registry on July 27, 2007.
Where is Kelly Dale located?
Kelly Dale practices at 2825 E Barnett Rd, Medford, OR 97504. The listed phone number is (541) 789-7000.
What is Kelly Dale's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Dale enrolled in Medicare?
Yes. Kelly Dale 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.
Which organizations bill Medicare for Kelly Dale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Dale reassigns Medicare benefits to 4 organizations: Asante (Medford, OR), Valley Immediate Care, LLC (Medford, OR), Asante Three Rivers Medical Center, LLC (Grants Pass, OR) and Siskiyou Hospital, Inc. (Yreka, CA). Each 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 Kelly Dale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Dale accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Kelly Dale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kelly Dale affiliated with any hospitals?
According to CMS data, Kelly Dale is affiliated with Asante Rogue Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Kelly Dale was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kelly A Dale, NP · NPI 1245420074
Family physician in Medford, Oregon. Individual provider, active in the CMS NPPES registry since July 27, 2007.
## Identity
- **NPI:** 1245420074 (Entity type: Individual)
- **Enumerated:** July 27, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN665150 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2825 E BARNETT RD, Medford, OR 97504-8332
- **Phone:** (541) 789-7000 · **Fax:** (503) 220-3929
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Asante (NPI 1770587107, Medford, OR); Valley Immediate Care, LLC (NPI 1982709226, Medford, OR); Asante Three Rivers Medical Center, LLC (NPI 1801891809, Grants Pass, OR); Siskiyou Hospital, Inc. (NPI 1952701369, Yreka, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** September 9, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1245420074) · Data from the CMS NPPES public registry.