NICOLE DALTON P.A.
NPI 1326109992
Physician Assistant in Forsyth, IL

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
241 W WEAVER RD, SUITE 145B, FORSYTH, IL 62535(217) 794-5472(217) 794-5458 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Dalton P.a. NPPES

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

NICOLE DALTON P.A. (NPI 1326109992) is an individual physician assistant in Forsyth, Illinois, licensed in Illinois (085-001647) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1326109992
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE DALTONCredential: P.A.
Location Address241 W WEAVER RD, SUITE 145BForsyth, IL 62535-9762
Mailing Address2300 N Edward StDecatur, IL 62526-4163 · (217) 876-2868 · Fax (217) 876-2874
Fax(217) 794-5458
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 13, 2006
Last NPPES UpdateApril 28, 2010
NPI 1326109992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085-001647
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

241 W WEAVER RD, Forsyth, IL 62535

Other Identifiers 4

Medicare PIN833120014
OtherP00807365Rr Individual #
Other833120Medicare Group #
OtherCA2264Rr Group #

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

Nicole Dalton P.a. 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 ID6608857792
PECOS Enrollment IDI20040525001501
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 2

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.
42 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Warner Hospital And Health Services

Critical Access Hospitals · Clinton, IL
OwnershipGovernment - Local
CMS Certification Number141303
Location422 W White StClinton, IL 61727 · De Witt County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62535 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers22 claims56 services$5.65 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$17.64 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers31 claims31 services$96.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Physician Assistant (Medical)
241 W WEAVER RD
FORSYTH, IL 62535
Family Medicine
241 W WEAVER RD, STE 145C
FORSYTH, IL 62535
Dietitian, Registered
241 W WEAVER RD, SUITE 210
FORSYTH, IL 62535
Internal Medicine
241 W WEAVER RD
FORSYTH, IL 62535
Family Medicine
241 W WEAVER RD
FORSYTH, IL 62535
Nurse Practitioner
241 W WEAVER RD, SUITE 240
FORSYTH, IL 62535
Nurse Practitioner
241 W WEAVER RD, SUITE 240
FORSYTH, IL 62535
Physician Assistant
241 W WEAVER RD, SUITE 145C
FORSYTH, IL 62535

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 Nicole Dalton's NPI number?

The NPI number for Nicole Dalton is 1326109992. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Nicole Dalton located?

Nicole Dalton practices at 241 W Weaver Rd Suite 145B, Forsyth, IL 62535. The listed phone number is (217) 794-5472.

What is Nicole Dalton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Dalton enrolled in Medicare?

Yes. Nicole Dalton 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 Nicole Dalton affiliated with any hospitals?

According to CMS data, Nicole Dalton is affiliated with Decatur Memorial Hospital, Saint James Hospital, St Joseph Medical Center and Warner Hospital And Health Services.

When was this NPI record last updated?

The NPPES record for Nicole Dalton was last updated on April 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.