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MARISELA ANN DALLMAN CNP
NPI 1194677724
Nurse Practitioner - Women's Health in Santa Fe, NM

Active since February 14, 2026PECOS Enrolled
4801 BECKNER RD STE 2650, SANTA FE, NM 87507(505) 772-2000 Get Directions Write a Review

NPPES record last updated: February 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marisela Ann Dallman Cnp NPPES

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

MARISELA ANN DALLMAN CNP (NPI 1194677724) is an individual women's health provider in Santa Fe, New Mexico, licensed in New Mexico (68201) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194677724
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMARISELA ANN DALLMANCredential: CNP
Location Address4801 BECKNER RD STE 2650Santa Fe, NM 87507-3641
Mailing Address4801 Beckner Rd Ste 2650Santa Fe, NM 87507-3641
Phone(505) 772-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 14, 2026
NPPES CertifiedFebruary 7, 2026
✔ NPI 1194677724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NM · 68201
4801 BECKNER RD STE 2650, Santa Fe, NM 87507
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisela Ann Dallman Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335616069
PECOS Enrollment IDI20260429003872
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87507 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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 Marisela Dallman's NPI number?

The NPI number for Marisela Dallman is 1194677724. It was assigned to this individual provider in the NPPES registry on February 14, 2026.

Where is Marisela Dallman located?

Marisela Dallman practices at 4801 Beckner Rd Ste 2650, Santa Fe, NM 87507. The listed phone number is (505) 772-2000.

What is Marisela Dallman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Marisela Dallman enrolled in Medicare?

Yes. Marisela Dallman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marisela Dallman was last updated on February 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.