Denise Dalton, CNP
NPI 1295357911 · Family Nurse Practitioner · Elyria, OH
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Denise Dalton, CNP is a Family Nurse Practitioner provider in Elyria, OH (NPI 1295357911).
Provider details
- NPI number
- 1295357911
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 0295491 (OH)
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 tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
219 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 133 | $62 |
| Residence Visit for Established Patient With Straightforward Medical Decision Making, Per Day, If Using Time, at Least 15 Minutes99347 | 53 | $36 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 18 | $103 |
| Residence Visit for New Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99344 | 15 | $115 |
Typical Medicare-allowed amounts for these services range $36–$115 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 48 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Lisinopril | 58 |
| Atorvastatin Calcium | 52 |
| Simvastatin | 46 |
| Tramadol Hcl | 44 |
| Pantoprazole Sodium | 39 |
| Mirtazapine | 39 |
| Amlodipine Besylate | 36 |
| Hydrochlorothiazide | 36 |
| Quetiapine Fumarate | 32 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$438 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-15
- Last updated
- 2020-05-15
- Certified
- 2020-05-15
Frequently asked questions
- What is Denise Dalton's NPI number?
- Denise Dalton's National Provider Identifier (NPI) is 1295357911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Denise Dalton's specialty?
- Denise Dalton is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Denise Dalton located?
- Denise Dalton's practice location on file with NPPES is 630 E River St, Elyria, OH 44035-5902.
- What is Denise Dalton's phone number?
- The practice phone number listed in the NPPES registry for Denise Dalton is (440) 329-7500.
- Does Denise Dalton accept Medicare?
- Denise Dalton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Denise Dalton's NPI active?
- Yes — Denise Dalton's NPI (1295357911) is active in the NPPES registry as of the last update on 2020-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.