JANINE DALISTAN NURSE PRACTITIONER
NPI 1619513900
Nurse Practitioner - Family in Franklin, TN
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Janine Dalistan Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Janine Dalistan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pittsford, NY 14534
- Reassigned Medicare billing, New York enrollment
- 108 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.
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.
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.
FRANKLIN, TN 37067
FRANKLIN, TN 37067
FRANKLIN, TN 37067
FRANKLIN, TN 37067
FRANKLIN, TN 37067
FRANKLIN, TN 37067
FRANKLIN, TN 37067
FRANKLIN, TN 37067
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 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.
Where is Janine Dalistan located?
Janine Dalistan practices at 113 Seaboard Ln Ste 200B, Franklin, TN 37067. The listed phone number is (855) 292-7957.
What is Janine Dalistan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Janine Dalistan enrolled in Medicare?
Yes. Janine Dalistan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Janine Dalistan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Janine Dalistan reassigns Medicare benefits to Midtown East Medical Services, PC (Pittsford, NY). The 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 Janine Dalistan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Janine Dalistan was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Janine Dalistan, NURSE PRACTITIONER · NPI 1619513900
Family physician in Franklin, Tennessee. Individual provider, active in the CMS NPPES registry since November 21, 2019.
## Identity
- **NPI:** 1619513900 (Entity type: Individual)
- **Enumerated:** November 21, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 352337 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 113 SEABOARD LN STE 200B, Franklin, TN 37067-8282
- **Phone:** (855) 292-7957
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Midtown East Medical Services, PC (NPI 1801292800, Pittsford, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619513900) · Data from the CMS NPPES public registry.