MARY ANN DALE (PA-C) – Physician Assistant, NPI 1487295713

MARY ANN DALE (PA-C) is a healthcare provider. based in Papillion, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2398 (NE). The NPI Number for MARY ANN DALE (PA-C) is 1487295713

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MARY ANN DALE (PA-C)
NPI
1487295713
Phone
(402) 991-9060
Address
8419 S 73RD PLZ
Enumeration Date
8 October 2019
Last Update Date
7 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4029919060
Graduation Year
2019 (7 years ago)
PAC ID
2264864610
Group Practice PAC ID
6305019613
Professional Enrollment ID
I20191122002586
Address ID
NE680461507PA8419XPLZX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

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Provider Addresses for MARY ANN DALE (PA-C)

  • 8419, South 73rd Plaza, Papillion, Sarpy County, Nebraska, 68046, United States

    SUITE 101

    PAPILLION, NE 68046

    Phone: (402) 991-9060

    Fax: (402) 991-9052

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Lilly USA, LLC ($45).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$45
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: 2019-11-22

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
I20191122002586IPhysician AssistantNETBD

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
99203New patient office or other outpatient visit, 30-44 minutes3131$0
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
73564X-ray of knee, 4 or more views1515$0
View full utilization report →

Insurance plans in this area (ZIP 68046)

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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: 6305019613View full group profile
NameSpecialtyState
Physician AssistantNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

How do payers reference MARY ANN DALE (PA-C)?
For MARY ANN DALE (PA-C), use NPI 1487295713 as the unique 10-digit identifier.
Is MARY ANN DALE (PA-C) still an active registrant?
MARY ANN DALE (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is MARY ANN DALE (PA-C)?
MARY ANN DALE (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARY ANN DALE (PA-C)?
Travel planning: use Papillion, Nebraska as the reference point for MARY ANN DALE (PA-C), then confirm.
When was this NPI issued?
Enumeration for MARY ANN DALE (PA-C) is noted as October 8, 2019 where the registry provides it.

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