PAMELA SUE DALE (APRN) – Adult Health Nurse Practitioner, NPI 1205172970

PAMELA SUE DALE (APRN) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3007761 (KY). The NPI Number for PAMELA SUE DALE (APRN) is 1205172970

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA SUE DALE (APRN)
NPI
1205172970
Phone
(502) 568-7364
Address
12201 BLUEGRASS PKWY
Enumeration Date
27 December 2012
Last Update Date
16 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
6066689076
Graduation Year
2012 (14 years ago)
PAC ID
2466684782
Group Practice PAC ID
5991790636
Professional Enrollment ID
I20140418000696
Address ID
KY413019750CA31XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for PAMELA SUE DALE (APRN)

  • 12201 BLUEGRASS PKWY

    LOUISVILLE, KY 402992361

    Phone: (502) 568-7364

    Fax: (502) 568-7136

    Type: Mailing

  • 1120 CRISTLAND RD

    LOUISVILLE, KY 402144150

    Phone: (502) 367-0104

    Fax: (502) 368-5208

    Type: Location

  • PO BOX 99

    CAMPTON, KY 413010099

    Phone: (606) 668-9076

    Fax: (606) 668-7488

    Type: Mailing

  • 31 MAIN ST STE 1

    CAMPTON, KY 413019750

    Phone: (606) 668-9076

    Fax: (606) 668-6820

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $819.

Total Amount is formed as General ($819) + Research ($0) + Ownership ($0) = $819.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($255).

Total Amount

$819

General + Research + Ownership

Payments

41

Total payment records

General Amount

$819

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2014-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20140418000696INurse PractitionerKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40299)

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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: 5991790636View full group profile
NameSpecialtyState
Internal Medicine, Infectious DiseaseKY
Nurse PractitionerKY
Cardiovascular Disease (Cardiology), Internal MedicineKY

Reviews

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Frequently asked questions

What identifier follows PAMELA SUE DALE (APRN) across health systems?
The NPI 1205172970 uniquely identifies PAMELA SUE DALE (APRN) in U.S. healthcare data.
Quick check: is PAMELA SUE DALE (APRN) active?
Public NPPES data shows PAMELA SUE DALE (APRN) with an active NPI status right now.
What type of care does PAMELA SUE DALE (APRN) provide?
PAMELA SUE DALE (APRN)'s profile centers on Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is PAMELA SUE DALE (APRN) tied to Louisville, Kentucky?
If you are local to Louisville, Kentucky, PAMELA SUE DALE (APRN) may be relevant to your search.
Why is information missing for PAMELA SUE DALE (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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