NICOLE R DASSOW NP
NPI 1073237442
Nurse Practitioner - Psychiatric/Mental Health in North Fond Du Lac, WI

Q: What is Nicole Dassow's NPI number?

The NPI number for Nicole Dassow is 1073237442. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Q: What is Nicole Dassow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Dassow was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 29, 2022PECOS EnrolledAccepts Medicare Assignment

700 PARK RIDGE LN, NORTH FOND DU LAC, WI 54937(920) 926-7800(920) 921-3500 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2023, Dec 5, 2022, Sep 29, 2022 (3 updates tracked since 2022).

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About Nicole R Dassow Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE R DASSOW NP (NPI 1073237442) is an individual psychiatric/mental health provider in North Fond Du Lac, Wisconsin, licensed in Wisconsin (13161-033) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073237442

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNICOLE R DASSOWCredential: NP

Location Address700 PARK RIDGE LNNorth Fond Du Lac, WI 54937-1385

Mailing Address700 Park Ridge LnNorth Fond Du Lac, WI 54937-1385 · (920) 926-7800 · Fax (920) 921-3500

Phone(920) 926-7800

Fax(920) 921-3500

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 29, 2022

Last NPPES UpdateJune 7, 20233 updates tracked since enumeration

NPPES CertifiedJune 7, 2023

✔ NPI 1073237442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WI · 13161-033

Also ListedNurse PractitionerTaxonomy 363L00000X · License 13161-033 (WI)

700 PARK RIDGE LN, North Fond Du Lac, WI 54937

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole R Dassow Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608242292

PECOS Enrollment IDI20221024001089

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

92 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54937 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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