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Deactivated NPI 1538768981 Deactivated / Inactive NPI Female Practitioner

Heather Anne Dahlen , APRN

Nurse Practitioner • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Heather Dahlen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 17, 2020
NPI Deactivation Date July 02, 2026
Total Practice Duration ~6 Years of Practice (2020 – 2026)

Professional Overview & Biography Verified Profile Summary

Heather Dahlen, APRN was a registered Nurse Practitioner practicing in Jacksonville, FL. Throughout an active medical career spanning 6 years, Heather Dahlen provided care at the practice location at 4500 SAN PABLO RD S until profile deactivation on 2026-07-02.

Historical Medicare Part B clinical services included established patient outpatient office visit, diagnostic exam of voice box using a flexible endoscope, removal of foreign body in voice box using a flexible endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Associated Practice Facility / Clinic
🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
879 Specialists

Practicing in Jacksonville, FL (8990 Statewide)

Telehealth Adoption Rate
28.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
53 48 $312.00 $74.11
31575 Diagnostic exam of voice box using a flexible endoscope
29 28 $583.76 $103.50
31577 Removal of foreign body in voice box using a flexible endoscope
27 26 $1352.00 $223.94
38724 Removal of lymph nodes, muscle, and tissue of neck
12 11 $728.94 $148.24

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11007420

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated July 02, 2026

Record deactivated on July 02, 2026

NPI Profile Active November 04, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2020

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

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Updated Business Mailing Address November 04, 2020

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 4153081176)

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Provider Name / Credentials Updated November 04, 2020

Recorded as HEATHER DAHLEN, APRN

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2020

Nurse Practitioner (License #APRN11007420 in FL)

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Initial NPI Registration & Enumeration October 17, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538768981
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2020
Last Update: November 04, 2020
Deactivation Date: July 02, 2026

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 4153081176

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.