THERESA MACDISSI P.A.-C
NPI 1164840617
Physician Assistant in Council Bluffs, IA

Q: What is Theresa Macdissi's NPI number?

The NPI number for Theresa Macdissi is 1164840617. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Q: What is Theresa Macdissi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Macdissi was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 02, 2014

1 EDMUNDSON PL STE 306, COUNCIL BLUFFS, IA 51503(712) 396-7787(712) 396-4115 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 18, 2018, May 25, 2018 (2 updates tracked since 2018).

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About Theresa Macdissi P.a.-c NPPES

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

THERESA MACDISSI P.A.-C (NPI 1164840617) is an individual physician assistant in Council Bluffs, Iowa, licensed in Iowa (092083) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1164840617

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTHERESA MACDISSICredential: P.A.-C

Location Address1 EDMUNDSON PL STE 306Council Bluffs, IA 51503

Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100 · Fax (402) 354-2155

Phone(712) 396-7787

Fax(712) 396-4115

Sole ProprietorNo

Enumeration DateApril 2, 2014

Last NPPES UpdateJune 18, 20182 updates tracked since enumeration

✔ NPI 1164840617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IA · 092083

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 1802 (NE)

1 EDMUNDSON PL STE 306, Council Bluffs, IA 51503

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Other Identifiers 2

Medicaid47068731713NE

Medicaid1164840617IA

Areas of Expertise CMS Part B claims 2

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.

133 services113 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

28 services25 patients

Other Providers at the Same Location NPPES 6

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

DR. ANN ELIZABETH NARMI M.D.

Internal Medicine (Interventional Cardiology)