SHELLY MARIE DALE
NPI 1982266896
Nurse Practitioner in Petoskey, MI

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment
405 N DIVISION RD STE 2, PETOSKEY, MI 49770(231) 487-2270 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shelly Marie Dale NPPES

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

SHELLY MARIE DALE (NPI 1982266896) is an individual nurse practitioner in Petoskey, Michigan, licensed in Michigan (4704216787) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1982266896
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHELLY MARIE DALE
Location Address405 N DIVISION RD STE 2Petoskey, MI 49770-9046
Mailing Address9910 Mission RdAlanson, MI 49706-9717 · (231) 838-8454
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 1, 2019
✔ NPI 1982266896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704216787
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
405 N DIVISION RD STE 2, Petoskey, MI 49770

Other Names 1

Professional Name (2)Shelly Marie Bellmer Fnp-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelly Marie Dale 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 ID2365778073
PECOS Enrollment IDI20190801001096
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shelly Dale reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
405 N DIVISION RD STE 2
Petoskey, MI 49770
  • Reassigned Medicare billing, Michigan enrollment
  • 492 clinicians in this Medicare group
Internal Medicine
1100 E MICHIGAN AVE
Grayling, MI 49738
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
Internal Medicine
1498 PACIFIC AVE STE 400
Tacoma, WA 98402
  • Reassigned Medicare billing, Michigan enrollment
  • 36 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 49770 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier16 claims16 services$7.43 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier21 claims21 services$11.80 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier38 claims5,594 services$1.74 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier13 claims26 services$9.35 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier18 claims36 services$5.65 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 2

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

Urology
405 N DIVISION RD STE 2
PETOSKEY, MI 49770
Urology
405 N DIVISION RD STE 2
PETOSKEY, MI 49770

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 Shelly Dale's NPI number?

The NPI number for Shelly Dale is 1982266896. It was assigned to this individual provider in the NPPES registry on July 1, 2019. The provider is also known as Shelly Marie Bellmer Fnp-C.

Where is Shelly Dale located?

Shelly Dale practices at 405 N Division Rd Ste 2, Petoskey, MI 49770. The listed phone number is (231) 487-2270.

What is Shelly Dale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shelly Dale enrolled in Medicare?

Yes. Shelly Dale 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 Shelly Dale was last updated on July 1, 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.