Dale P Greyslak PA PLLC
NPI 1174945521 · Surgical Physician Assistant · Indialantic, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dale P Greyslak PA PLLC is a Surgical Physician Assistant organization in Indialantic, FL (NPI 1174945521).
Provider details
- NPI number
- 1174945521
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Dale Greyslak, Managing Member(407) 451-0192
- License
- PA9104508 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-01-19
- Last updated
- 2023-12-13
- Certified
- 2023-12-13
Frequently asked questions
- What is Dale P Greyslak PA PLLC's NPI number?
- Dale P Greyslak PA PLLC's National Provider Identifier (NPI) is 1174945521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dale P Greyslak PA PLLC?
- Dale P Greyslak PA PLLC is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dale P Greyslak PA PLLC located?
- Dale P Greyslak PA PLLC's practice location on file with NPPES is 3491 Titanic Cir, Indialantic, FL 32903-1871.
- What is Dale P Greyslak PA PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dale P Greyslak PA PLLC is (407) 451-0192.
- Does Dale P Greyslak PA PLLC accept Medicare?
- Dale P Greyslak PA PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dale P Greyslak PA PLLC?
- The authorized official listed on Dale P Greyslak PA PLLC's NPPES record is Dale Greyslak, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dale P Greyslak PA PLLC's NPI active?
- Yes — Dale P Greyslak PA PLLC's NPI (1174945521) is active in the NPPES registry as of the last update on 2023-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.