MR. THOMAS FRANCIS DISSETTE JR. DNP, APRN, FNP-C
NPI 1235912791
Nurse Practitioner - Family in Maryville, IL

Q: What is Thomas Dissette's NPI number?

The NPI number for Thomas Dissette is 1235912791. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Q: What is Thomas Dissette's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Dissette was last updated on August 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 17, 2023PECOS EnrolledAccepts Medicare Assignment

6720 OXFORD LN, MARYVILLE, IL 62062(618) 975-6692 Get Directions Write a Review

NPPES record last updated: August 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2024, Aug 17, 2023 (2 updates tracked since 2023).

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About Mr. Thomas Francis Dissette Jr. Dnp, Aprn, Fnp-c NPPES

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

MR. THOMAS FRANCIS DISSETTE JR. DNP, APRN, FNP-C (NPI 1235912791) is an individual family provider in Maryville, Illinois, licensed in Illinois (209.029957) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235912791

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. THOMAS FRANCIS DISSETTE JR.Credential: DNP, APRN, FNP-C

Location Address6720 OXFORD LNMaryville, IL 62062-6876

Mailing Address6720 Oxford LnMaryville, IL 62062-6876 · (618) 975-6692

Phone(618) 975-6692

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 17, 2023

Last NPPES UpdateAugust 24, 20242 updates tracked since enumeration

NPPES CertifiedAugust 24, 2024

✔ NPI 1235912791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.029957

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 041507231 (IL), 2009011016 (MO)

6720 OXFORD LN, Maryville, IL 62062

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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

Mr. Thomas Francis Dissette Jr. Dnp, Aprn, Fnp-c 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 ID6800314170

PECOS Enrollment IDI20250520001962

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 62062 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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 Thomas Dissette's NPI number?

The NPI number for Thomas Dissette is 1235912791. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Where is Thomas Dissette located?

Thomas Dissette practices at 6720 Oxford Ln, Maryville, IL 62062. The listed phone number is (618) 975-6692.

What is Thomas Dissette's specialty?

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

Is Thomas Dissette enrolled in Medicare?

Yes. Thomas Dissette is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Dissette accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Thomas Dissette 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 Thomas Dissette was last updated on August 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.