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CHANDLER MIMS DALTON
NPI 1750901328
Nurse Practitioner - Family in Oxford, MS

Active since April 23, 2020PECOS Enrolled
1205 OFFICE PARK DR STE A, OXFORD, MS 38655(662) 638-3412 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2021, Apr 23, 2020 (2 updates tracked since 2020).

About Chandler Mims Dalton NPPES

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

CHANDLER MIMS DALTON (NPI 1750901328) is an individual family provider in Oxford, Mississippi, licensed in Mississippi (904927) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750901328
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHANDLER MIMS DALTON
Location Address1205 OFFICE PARK DR STE AOxford, MS 38655-3546
Mailing Address212 Olde Castle LoopOxford, MS 38655-6012
Phone(662) 638-3412
Sole ProprietorYes
Enumeration DateApril 23, 2020
Last NPPES UpdateOctober 19, 20212 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
✔ NPI 1750901328 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 MS · 904927
Also ListedRegistered NurseTaxonomy 163W00000X · License 901117 (MS)
1205 OFFICE PARK DR STE A, Oxford, MS 38655
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chandler Mims Dalton 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 38655 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 Chandler Dalton's NPI number?

The NPI number for Chandler Dalton is 1750901328. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Chandler Dalton located?

Chandler Dalton practices at 1205 Office Park Dr Ste A, Oxford, MS 38655. The listed phone number is (662) 638-3412.

What is Chandler Dalton's specialty?

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

Is Chandler Dalton enrolled in Medicare?

Yes. Chandler Dalton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chandler Dalton was last updated on October 19, 2021. 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.