PATRICIA VASSALLO NP
NPI 1194122937
Nurse Practitioner - Pediatrics in Jber, AK
About Patricia Vassallo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICIA VASSALLO NP (NPI 1194122937) is an individual pediatrics provider in Jber, Alaska, licensed in Pennsylvania (SP027691) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patricia Vassallo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Patricia Vassallo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clinton Township, MI 48038
- Reassigned Medicare billing, Michigan enrollment
- 111 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JBER, AK 99506
ELMENDORF AFB, AK 99506
JBER ELMENDORF AFB, AK 99506
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 Patricia Vassallo's NPI number?
The NPI number for Patricia Vassallo is 1194122937. It was assigned to this individual provider in the NPPES registry on November 21, 2014.
Where is Patricia Vassallo located?
Patricia Vassallo practices at 5955 Zeamer Ave, Jber, AK 99506. The listed phone number is (907) 580-2907.
What is Patricia Vassallo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Patricia Vassallo enrolled in Medicare?
Yes. Patricia Vassallo is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Patricia Vassallo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Vassallo reassigns Medicare benefits to 3 organizations: Seton Health Corporation Of Southeastern Michigan (Clinton Township, MI), Iu Health Medical Group, LLC (Indianapolis, IN) and Pediatric Surgical Associates Inc (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Vassallo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patricia Vassallo accept?
Health plans from CareSource and UnitedHealthcare list Patricia Vassallo 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.
When was this NPI record last updated?
The NPPES record for Patricia Vassallo was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Patricia Vassallo, NP · NPI 1194122937
Pediatrics physician in Jber, Alaska. Individual provider, active in the CMS NPPES registry since November 21, 2014.
## Identity
- **NPI:** 1194122937 (Entity type: Individual)
- **Enumerated:** November 21, 2014
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP027691 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5955 ZEAMER AVE, Jber, AK 99506-3702
- **Phone:** (907) 580-2907
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Seton Health Corporation Of Southeastern Michigan (NPI 1598177065, Clinton Township, MI); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN); Pediatric Surgical Associates Inc (NPI 1790880292, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2026
- **Other identifiers:** Other 0H208910 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1194122937) · Data from the CMS NPPES public registry.