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

Mary J Dalzell, NP

Individual provider Nurse Practitioner · NPI 1942552658

Mary J Dalzell, NP is a Nurse Practitioner in Fond Du Lac, Wisconsin. Qualified in 2012, 14 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

420 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 926-8230
Fax: (920) 926-8997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1211 Fish Hatchery Rd, Madison, WI 53715-1909 — (608) 252-8000
  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 — (414) 955-6777
  • 2009 5th St, Monroe, WI 53566-1546 — (608) 324-2000

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 5008 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 5008 (WI)

Record details

NPI number1942552658
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 4, 2012
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fond Du Lac