Kelly Marie Dalton, AGACNP-BC in Springfield, MO

Kelly Marie Dalton, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Springfield, Missouri. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Clinic Springfield Communities and her current practice location is 1235 E Cherokee St, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 820-3911.

Kelly Marie Dalton is licensed to practice in Missouri (license number 2020009164) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770119372.

Contact Information

	Kelly Marie Dalton, AGACNP-BC
	1235 E Cherokee St, Springfield, MO 65804-2203
	(417) 820-3911
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Marie Dalton
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1235 E Cherokee St, Springfield, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Marie Dalton graduated from nursing school in 2020

NPI Data:

NPI Number: 1770119372
Provider Enumeration Date: 03/16/2020
Last Update Date: 01/10/2023

Medicare PECOS Information:

PECOS PAC ID: 1456780386
Enrollment ID: I20200328000059

Medical Identifiers

Medical identifiers for Kelly Marie Dalton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770119372	NPI	-	NPPES
420081844	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	2020009164 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Springfield	Springfield, MO	Hospital
Mercy Hospital Lebanon	Lebanon, MO	Hospital
Mercy Hospital - Aurora	Aurora, MO	Hospital
Mercy Hospital - Cassville	Cassville, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Springfield Communities	7416865845	933

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Marie Dalton allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Marie Dalton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Marie Dalton, AGACNP-BC 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 820-3911	Kelly Marie Dalton, AGACNP-BC 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 820-3911

Reviews and Comments

Nurse Practitioner Nurses in Springfield, MO

Ven Thi Lam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4720
Mrs. Erin Elizabeth Duvall, APRN, FNP-C, PMHNP-B Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 E Bennett - B, Springfield, MO 65804 Phone: 417-619-4129
Michelle Spencer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2750 S Campbell Ave, Springfield, MO 65807 Phone: 417-269-2281 Fax: 417-269-2292
Mrs. Cassondra Dawn Simmoneau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3000
Beverly Jo Gann, RNC,WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 N National Ave, Doctors Hospital Of Springfield, Specialty Clinic, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4724
Ms. Jennifer L. Passanise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1965 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-5150 Fax: 417-820-5155
Sally R Schafer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-4636 Fax: 417-269-7036

Kelly Marie Dalton, AGACNP-BC - Medicare Nurse Practitioner in Springfield, MO