DALE THOMAS RISENHOOVER PA-C
NPI 1407228208
Physician Assistant - Medical in Sacramento, CA

Active since October 20, 2015PECOS EnrolledAccepts Medicare Assignment
1500 21ST ST, SACRAMENTO, CA 95811(916) 443-3299 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2022, Feb 10, 2017 (2 updates tracked since 2017).

About Dale Thomas Risenhoover Pa-c NPPES

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

DALE THOMAS RISENHOOVER PA-C (NPI 1407228208) is an individual medical provider in Sacramento, California, licensed in California (PA52935) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1407228208
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDALE THOMAS RISENHOOVERCredential: PA-C
Location Address1500 21ST STSacramento, CA 95811-5216
Mailing Address1500 21st StSacramento, CA 95811-5216 · (916) 443-3299
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 20, 2015
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPI 1407228208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA52935
1500 21ST ST, Sacramento, CA 95811

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 Thomas Risenhoover Pa-c 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 ID7618268236
PECOS Enrollment IDI20160809002357
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.

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.

Physician Assistant
1500 21ST ST
SACRAMENTO, CA 95811
Marriage & Family Therapist
1500 21ST ST
SACRAMENTO, CA 95811
Nurse Practitioner (Family)
1500 21ST ST
SACRAMENTO, CA 95811
Nurse Practitioner (Primary Care)
1500 21ST ST
SACRAMENTO, CA 95811
Physician Assistant
1500 21ST ST
SACRAMENTO, CA 95811
Social Worker (Clinical)
1500 21ST ST
SACRAMENTO, CA 95811
Social Worker (Clinical)
1500 21ST ST
SACRAMENTO, CA 95811
Dietitian, Registered
1500 21ST ST
SACRAMENTO, CA 95811

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 Risenhoover's NPI number?

The NPI number for Dale Risenhoover is 1407228208. It was assigned to this individual provider in the NPPES registry on October 20, 2015.

Where is Dale Risenhoover located?

Dale Risenhoover practices at 1500 21st St, Sacramento, CA 95811. The listed phone number is (916) 443-3299.

What is Dale Risenhoover's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dale Risenhoover enrolled in Medicare?

Yes. Dale Risenhoover 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.

When was this NPI record last updated?

The NPPES record for Dale Risenhoover was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.