JANINE DALISTAN NURSE PRACTITIONER - NPI 1619513900 - Nurse Practitioner in Franklin, TN

Q: What is Janine Dalistan's NPI number?

The NPI number for Janine Dalistan is 1619513900. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Q: What is Janine Dalistan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Janine Dalistan was last updated on December 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Janine Dalistan Nurse Practitioner NPPES

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

JANINE DALISTAN NURSE PRACTITIONER (NPI 1619513900) is an individual family provider in Franklin, Tennessee, licensed in New York (352337) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Victor.

NPPES Registry Identity

NPI1619513900

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJANINE DALISTANCredential: NURSE PRACTITIONER

Location Address113 SEABOARD LN STE 200BFranklin, TN 37067-8282

Mailing Address1055 Oak Ridge DrVictor, NY 14564-9414 · (585) 465-7464

Phone(855) 292-7957

Sole ProprietorNo

Enumeration DateNovember 21, 2019

Last NPPES UpdateDecember 4, 20233 updates tracked since enumeration

NPPES CertifiedDecember 4, 2023

✔ NPI 1619513900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 352337

Also ListedRegistered NurseTaxonomy 163W00000X · License 708439 (NY)

113 SEABOARD LN STE 200B, Franklin, TN 37067

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Secondary Practice Location 1

Location 11055 Oak Ridge DrVictor, NY 14564-9414 · Phone (585) 465-7464

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janine Dalistan Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37067 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 9

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

POPHEALTHCARE MEDICAL SERVICES OF MI, PC

Nurse Practitioner