JENNA NICOLE DAHLE PA
NPI 1588217285
Physician Assistant in Mount Airy, MD

Active since July 22, 2019PECOS EnrolledAccepts Medicare Assignment
504 E RIDGEVILLE BLVD, MOUNT AIRY, MD 21771(301) 703-5452 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenna Nicole Dahle Pa NPPES

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

JENNA NICOLE DAHLE PA (NPI 1588217285) is an individual physician assistant in Mount Airy, Maryland, licensed in Maryland (C0007244) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1588217285
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA NICOLE DAHLECredential: PA
Location Address504 E RIDGEVILLE BLVDMount Airy, MD 21771-5942
Mailing Address8604 Watkins Run CtEllicott City, MD 21043-1952 · (410) 361-0951
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 22, 2019
NPI 1588217285 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 MD · C0007244
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.
504 E RIDGEVILLE BLVD, Mount Airy, MD 21771

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

Jenna Nicole Dahle Pa 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 ID9234469784
PECOS Enrollment IDI20190926000571
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 11

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.

Detection test by immunoassay technique for influenza virus 87400
An immunoassay test for influenza virus is a procedure that identifies the presence of the flu virus in your body. It uses your body's immune response to detect specific proteins (antigens) associated with the virus. This helps in early and accurate diagnosis of influenza.
164 services81 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
100 services97 patients
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.
69 services68 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.
53 services51 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
51 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21771 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner
504 E RIDGEVILLE BLVD
MOUNT AIRY, MD 21771
Clinic/Center (Urgent Care)
504 E RIDGEVILLE BLVD, SUITE 102
MOUNT AIRY, MD 21771
Nurse Practitioner (Family)
504 E RIDGEVILLE BLVD
MOUNT AIRY, MD 21771
Family Medicine
504 E RIDGEVILLE BLVD
MOUNT AIRY, MD 21771
Family Medicine
504 E RIDGEVILLE BLVD
MOUNT AIRY, MD 21771
Pediatrics (Pediatric Hematology-Oncology)
504 E RIDGEVILLE BLVD
MOUNT AIRY, MD 21771
Clinical Medical Laboratory
504 E RIDGEVILLE BLVD
MOUNT AIRY, MD 21771
Pharmacy
504 E RIDGEVILLE BLVD
MOUNT AIRY, MD 21771

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 Jenna Dahle's NPI number?

The NPI number for Jenna Dahle is 1588217285. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Jenna Dahle located?

Jenna Dahle practices at 504 E Ridgeville Blvd, Mount Airy, MD 21771. The listed phone number is (301) 703-5452.

What is Jenna Dahle's specialty?

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

Is Jenna Dahle enrolled in Medicare?

Yes. Jenna Dahle 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 Jenna Dahle was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.