Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dale Sumilang

Individual provider Registered Nurse · NPI 1154938744

Dale Sumilang is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2020, 6 years ago. Practices with Prospect Chartercare Physicians LLC, a 70-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
6
Licensed in
RI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

111 Chestnut St
Providence, RI 02903-4169
Phone: (401) 262-9964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN02624 (RI)
Registered Nurse Taxonomy 163W00000X · Licence RN50764 (RI)

Record details

NPI number1154938744
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2020
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address111 Chestnut St, Providence, RI 02903-4169

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Prospect Chartercare Physicians Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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