KATHY A DALZELL (C.N.P.) – Nurse Practitioner, NPI 1902866148

KATHY A DALZELL (C.N.P.) is a healthcare provider. based in Sheffield village, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials C.N.P.. They hold a License No. NP06612 (OH). The NPI Number for KATHY A DALZELL (C.N.P.) is 1902866148

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
KATHY A DALZELL (C.N.P.)
NPI
1902866148
Phone
(440) 324-0092
Address
5319 HOAG DR
Enumeration Date
23 March 2006
Last Update Date
9 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4409306015
Graduation Year
2001 (25 years ago)
PAC ID
2668596743
Group Practice PAC ID
4688070055
Professional Enrollment ID
I20100825001206
Address ID
OH440351492SH5319XDRXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

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Provider Addresses for KATHY A DALZELL (C.N.P.)

  • 5319, Hoag Drive, Sheffield, Lorain County, Ohio, 44035, United States

    STE 100

    SHEFFIELD VILLAGE, OH 440351492

    Phone: (440) 324-0092

    Fax: (440) 324-0093

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-08-25

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
I20100825001206INurse PractitionerOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes338132$0
99213Established patient office or other outpatient visit, 20-29 minutes16987$0
View full utilization report →

Insurance plans in this area (ZIP 44035)

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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: 4688070055View full group profile
NameSpecialtyState
Family Practice, Sports MedicinePA
Pulmonary Disease, Internal MedicineOH
U R O L O G YOH
Pain Management, Physical Medicine And RehabilitationOH
Nurse PractitionerOH
Nurse PractitionerOH
Clinical Social WorkerOH
G A S T R O E N T E R O L O G YOH
Certified Nurse Midwife (Cnm)OH
N E U R O S U R G E R YNC

Reviews

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Frequently asked questions

What is KATHY A DALZELL (C.N.P.)'s NPI number?
KATHY A DALZELL (C.N.P.)'s NPI is 1902866148 — the number used across U.S. healthcare to identify this provider.
Would KATHY A DALZELL (C.N.P.) appear as active to a payer?
You can treat KATHY A DALZELL (C.N.P.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KATHY A DALZELL (C.N.P.)?
KATHY A DALZELL (C.N.P.)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KATHY A DALZELL (C.N.P.)?
Travel planning: use Sheffield Village, Ohio as the reference point for KATHY A DALZELL (C.N.P.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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