KELLY THERESIA DASSOW FNP
NPI 1184359499
Nurse Practitioner - Family in Stevens Point, WI

Active since July 20, 2022PECOS Enrolled
78.85/100
CMS Quality Rating
4100 STATE HIGHWAY 66, STEVENS POINT, WI 54482(715) 997-6000 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Theresia Dassow Fnp NPPES

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

KELLY THERESIA DASSOW FNP (NPI 1184359499) is an individual family provider in Stevens Point, Wisconsin, licensed in Wisconsin (13193) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains a secondary practice location in Marshfield.

NPPES Registry Identity

NPI1184359499
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY THERESIA DASSOWCredential: FNP
Location Address4100 STATE HIGHWAY 66Stevens Point, WI 54482-8410
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 20, 2022
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
NPI 1184359499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 13193
4100 STATE HIGHWAY 66, Stevens Point, WI 54482

Secondary Practice Location 1

Location 11000 N Oak AveMarshfield, WI 54449-5703 · Phone (715) 387-1713

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Theresia Dassow Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416324777
PECOS Enrollment IDI20221031001290
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
263 services118 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
139 services47 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54482 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

Other Providers at the Same Location NPPES 20

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

Physician Assistant
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
Emergency Medicine
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
Emergency Medicine
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
Physical Therapist
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
General Acute Care Hospital
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
Physician Assistant
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
Podiatrist
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482
Emergency Medicine
4100 STATE HIGHWAY 66
STEVENS POINT, WI 54482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Dassow's NPI number?

The NPI number for Kelly Dassow is 1184359499. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Kelly Dassow located?

Kelly Dassow practices at 4100 State Highway 66, Stevens Point, WI 54482. The listed phone number is (715) 997-6000.

What is Kelly Dassow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Dassow enrolled in Medicare?

Yes. Kelly Dassow is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Dassow accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Kelly Dassow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Dassow affiliated with any hospitals?

According to CMS data, Kelly Dassow is affiliated with Marshfield Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Dassow was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.