JENNIFER REBECCA DALTON (FNP) – Family Nurse Practitioner, NPI 1104323062

JENNIFER REBECCA DALTON (FNP) is a healthcare provider. based in Manistee, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704272834 (MI). The NPI Number for JENNIFER REBECCA DALTON (FNP) is 1104323062

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER REBECCA DALTON (FNP)
NPI
1104323062
Phone
(231) 723-8272
Address
1500 CABERFAE HWY
Enumeration Date
9 April 2018
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2318456294
Graduation Year
2015 (11 years ago)
PAC ID
3375930399
Group Practice PAC ID
8426046855
Professional Enrollment ID
I20220421001659
Address ID
MI494311987LU920XXSTXX300
Telehealth
Yes
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

8,106 NURSE PRACTITIONER in MI

Loading map...

Provider Addresses for JENNIFER REBECCA DALTON (FNP)

  • Oaks Correctional Facility, 1500, Caberfae Highway, Udell, Eastlake, Stronach Township, Manistee County, Michigan, 49660, United States

    MANISTEE, MI 496609200

    Phone: (231) 723-8272

    Fax: (231) 723-3225

    Type: Mailing

  • 920 DIANA ST

    LUDINGTON, MI 494311987

    Phone: (231) 845-6294

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $930.

Total Amount is formed as General ($930) + Research ($0) + Ownership ($0) = $930.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Alkermes, Inc. ($133).

Total Amount

$930

General + Research + Ownership

Payments

44

Total payment records

General Amount

$930

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2022-04-21

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
I20220421001659INurse PractitionerMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes24761$0
96372Injection of drug or substance under skin or into muscle14127$0
View full utilization report →

Insurance plans in this area (ZIP 49660)

Loading plans...

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: 8426046855View full group profile
NameSpecialtyState
Mental Health CounselorMI
Mental Health CounselorMI
-MI
-GA
Clinical Social WorkerFL
-GA
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference JENNIFER REBECCA DALTON (FNP)?
For JENNIFER REBECCA DALTON (FNP), use NPI 1104323062 as the unique 10-digit identifier.
Would JENNIFER REBECCA DALTON (FNP) appear as active to a payer?
You can treat JENNIFER REBECCA DALTON (FNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JENNIFER REBECCA DALTON (FNP)?
JENNIFER REBECCA DALTON (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER REBECCA DALTON (FNP)?
Directory geography for JENNIFER REBECCA DALTON (FNP) centers on Manistee, Michigan.
What does 4 location(s) imply?
4 practice locations appear in the available data.

Similar Providers

STEPHANIE ANN SMART (NP)

Family Nurse Practitioner
Crystal Lake Health Center Benzonia Clinic, 6227, Frankfort Highway, Benzonia, Crystal Lake Township, Benzie County, Michigan, 49616, United States
NPI: 1902845795

LUANNE PARKS (NP)

Psychiatric/Mental Health Nurse Practitioner
2198 US 31 S
NPI: 1851313878

MARISA ANN HERRERA (NP)

Family Nurse Practitioner
2608 Government Center Dr
NPI: 1053586255

MELISSA ANN FLESZAR (ARNP)

Family Nurse Practitioner
25097 OLYMPIA AVE
NPI: 1326361619

LISA GAY HURLEY (NP)

Family Nurse Practitioner
10850 E TRAVERSE HWY
NPI: 1508132333

STACEY BONECUTTER (FNP)

Family Nurse Practitioner
1806 E PARKDALE AVE
NPI: 1194139527
1465 E Parkdale Ave
NPI: 1487051611

CHRISTINA SELLERS (FNP-C)

Family Nurse Practitioner
3830 MILARCH RD
NPI: 1215304415