KELLY MARIE DALTON AGACNP-BC
NPI 1770119372
Nurse Practitioner - Gerontology in Springfield, MO

Active since March 16, 2020PECOS EnrolledAccepts Medicare Assignment
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-3911 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2023, Jan 4, 2023, Mar 31, 2020 and 1 more (4 updates tracked since 2020).

About Kelly Marie Dalton Agacnp-bc NPPES

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

KELLY MARIE DALTON AGACNP-BC (NPI 1770119372) is an individual gerontology provider in Springfield, Missouri, licensed in Missouri (2020009164) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770119372
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKELLY MARIE DALTONCredential: AGACNP-BC
Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203
Mailing Address1235 E Cherokee StSpringfield, MO 65804-2203 · (417) 820-3911
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 16, 2020
Last NPPES UpdateJanuary 10, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
NPI 1770119372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MO · 2020009164
1235 E CHEROKEE ST, Springfield, MO 65804

Other Identifiers 1

Medicaid420081844MO

Accepted Insurance

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

Kelly Marie Dalton Agacnp-bc 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 ID1456780386
PECOS Enrollment IDI20200328000059
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 8

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.

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.
179 services171 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.
145 services141 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.
90 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
68 services50 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
45 services44 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
39 services37 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Mercy Hospital Aurora

Critical Access Hospitals · Aurora, MO
OwnershipVoluntary non-profit - Church
CMS Certification Number261316
Location500 Porter AvenueAurora, MO 65605 · Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier12 claims12 services$2,241.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Emergency Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Anesthesiology
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Speech-Language Pathologist
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Gerontology)
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Physician Assistant
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804

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 Kelly Dalton's NPI number?

The NPI number for Kelly Dalton is 1770119372. It was assigned to this individual provider in the NPPES registry on March 16, 2020.

Where is Kelly Dalton located?

Kelly Dalton practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-3911.

What is Kelly Dalton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kelly Dalton enrolled in Medicare?

Yes. Kelly Dalton 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.

What insurance does Kelly Dalton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Kelly Dalton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Dalton affiliated with any hospitals?

According to CMS data, Kelly Dalton is affiliated with Mercy Hospital Lebanon, Mercy Hospital Springfield and Mercy Hospital Aurora.

When was this NPI record last updated?

The NPPES record for Kelly Dalton was last updated on January 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.