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JAYSEN HAMILTON DALE FNP-BC
NPI 1982309274
Nurse Practitioner - Family in Dallas, TX

Active since April 04, 2023PECOS Enrolled
9353 ELAM RD, DALLAS, TX 75217(699) 432-9334 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 30, 2025, Apr 11, 2023, Apr 4, 2023 (3 updates tracked since 2023).

About Jaysen Hamilton Dale Fnp-bc NPPES

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

JAYSEN HAMILTON DALE FNP-BC (NPI 1982309274) is an individual family provider in Dallas, Texas, licensed in Utah (13337289-4405) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint George.

NPPES Registry Identity

NPI1982309274
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAYSEN HAMILTON DALECredential: FNP-BC
Location Address9353 ELAM RDDallas, TX 75217-4181
Mailing Address9353 Elam RdDallas, TX 75217-4181 · (699) 432-9334
Phone(699) 432-9334
Sole ProprietorNo
Enumeration DateApril 4, 2023
Last NPPES UpdateMay 30, 20253 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1982309274 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 UT · 13337289-4405
Also ListedRegistered NurseTaxonomy 163W00000X · License 10316494-3102 (UT)
9353 ELAM RD, Dallas, TX 75217
Open in Google Maps ↗

Secondary Practice Location 1

Location 11380 E Medical Center DrSaint George, UT 84790-2123 · Phone (435) 251-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaysen Hamilton Dale Fnp-bc 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jaysen Dale reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health, LLC
18 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Utah enrollment
  • 145 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Ihc Health Services Inc
950 mi
Family Medicine
1100 S MEDICAL DR
Mt Pleasant, UT 84647
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1750425815 (435) 462-3471

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 75217 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 3

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

DR. FRED C. THOMAS M.D.
Internal Medicine
9353 ELAM RD
DALLAS, TX 75217
Dallas County (214) 931-1158
CAREFIRST MEDICAL GROUP
Family Medicine
9353 ELAM RD
DALLAS, TX 75217
Dallas County (214) 391-1158
FRED C.THOMAS M.D.P.A
Clinic/Center (Primary Care)
9353 ELAM RD
DALLAS, TX 75217
Dallas County (214) 391-1158

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 Jaysen Dale's NPI number?

The NPI number for Jaysen Dale is 1982309274. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Jaysen Dale located?

Jaysen Dale practices at 9353 Elam Rd, Dallas, TX 75217. The listed phone number is (699) 432-9334.

What is Jaysen Dale's specialty?

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

Is Jaysen Dale enrolled in Medicare?

Yes. Jaysen Dale is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jaysen Dale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaysen Dale reassigns Medicare benefits to 2 organizations: Signify Health, LLC (Dallas, TX) and Ihc Health Services Inc (Mt Pleasant, UT). Each 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 Jaysen Dale'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 Jaysen Dale was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.