DR. AVERY DINALLO (DNP, APN, FNP-C) – Family Nurse Practitioner, NPI 1902328404

DR. AVERY DINALLO (DNP, APN, FNP-C) is a healthcare provider. based in Meridian, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APN, FNP-C. They hold a License No. 26NJ00744300 (NJ). The NPI Number for DR. AVERY DINALLO (DNP, APN, FNP-C) is 1902328404

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. AVERY DINALLO (DNP, APN, FNP-C)
NPI
1902328404
Phone
(208) 898-7467
Address
4664 N PENNGROVE WAY STE 100
Enumeration Date
17 July 2017
Last Update Date
22 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2088987467
Graduation Year
2017 (9 years ago)
PAC ID
3678839495
Group Practice PAC ID
8729366455
Professional Enrollment ID
I20220131001232
Address ID
ID836467442ME4664XWAYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for DR. AVERY DINALLO (DNP, APN, FNP-C)

  • 4664 N PENNGROVE WAY STE 100

    MERIDIAN, ID 836467442

    Phone: (208) 898-7467

    Fax: (208) 398-2120

    Type: Mailing

  • 4915 EHRLICH RD

    TAMPA, FL 336242038

    Phone: (813) 960-2400

    Type: Location

  • 4915 Ehrlich Rd

    Tampa, FL 336242038

    Phone: (813) 960-2400

    Type: Location

  • Bruce B Downs Boulevard, Tampa, Hillsborough County, Florida, 33647, United States

    TAMPA, FL 336133911

    Phone: (813) 978-1500

    Fax: (813) 978-1210

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,512.

Total Amount is formed as General ($1,512) + Research ($0) + Ownership ($0) = $1,512.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($205).

Total Amount

$1,512

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,512

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200923002866INurse PractitionerGATBD
I20220131001232INurse PractitionerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths9225$0
99213Established patient office or other outpatient visit, 20-29 minutes8071$0
11102Biopsy of related skin growth, first growth7673$0
17110Destruction of skin growth, 1-14 growths5450$0
17000Destruction of precancer skin growth, 1 growth5044$0
View full utilization report →

Insurance plans in this area (ZIP 83646)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729366455View full group profile
NameSpecialtyState
Nurse PractitionerID
Physician AssistantID
Physician AssistantID
Nurse PractitionerID
D E R M A T O L O G YID
D E R M A T O L O G YID
Nurse PractitionerID
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. AVERY DINALLO (DNP, APN, FNP-C)?
DR. AVERY DINALLO (DNP, APN, FNP-C) — NPI 1902328404 — is the standard way to identify this listing.
Can I rely on DR. AVERY DINALLO (DNP, APN, FNP-C) being an active provider?
As of the registry snapshot, DR. AVERY DINALLO (DNP, APN, FNP-C) is marked active.
What is DR. AVERY DINALLO (DNP, APN, FNP-C) best known for clinically?
Directory data describes DR. AVERY DINALLO (DNP, APN, FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does DR. AVERY DINALLO (DNP, APN, FNP-C) list a practice location?
Patients near Meridian, Idaho may find DR. AVERY DINALLO (DNP, APN, FNP-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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