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DAWN TERIE PLOUCHER APRN
NPI 1316668049
Nurse Practitioner - Psychiatric/Mental Health in Smyrna, DE

Active since September 09, 2022PECOS EnrolledAccepts Medicare Assignment
74 E GLENWOOD AVE # 295, SMYRNA, DE 19977(302) 513-1913 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2025, Dec 4, 2024, Jul 9, 2024 and 1 more (4 updates tracked since 2022).

About Dawn Terie Ploucher Aprn NPPES

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

DAWN TERIE PLOUCHER APRN (NPI 1316668049) is an individual psychiatric/mental health provider in Smyrna, Delaware, licensed in Delaware (L8-0010356) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316668049
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDAWN TERIE PLOUCHERCredential: APRN
Location Address74 E GLENWOOD AVE # 295Smyrna, DE 19977-1002
Mailing Address139 E Pembrooke DrSmyrna, DE 19977-4006 · (302) 494-9846
Phone(302) 513-1913
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 9, 2022
Last NPPES UpdateFebruary 26, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1316668049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in DE · L8-0010356✔ Licensed in MD · AC005299✔ Licensed in NV · 838533✔ Licensed in PA · SP026396
74 E GLENWOOD AVE # 295, Smyrna, DE 19977
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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 from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Dawn Terie Ploucher Aprn 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 ID143696062
PECOS Enrollment IDI20221018002390, I20250303000270, I20250303000455
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.

Hospital Affiliations CMS Care Compare

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19977 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 Dawn Ploucher's NPI number?

The NPI number for Dawn Ploucher is 1316668049. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Where is Dawn Ploucher located?

Dawn Ploucher practices at 74 E Glenwood Ave # 295, Smyrna, DE 19977. The listed phone number is (302) 513-1913.

What is Dawn Ploucher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dawn Ploucher enrolled in Medicare?

Yes. Dawn Ploucher 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 Dawn Ploucher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Dawn Ploucher 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 Dawn Ploucher affiliated with any hospitals?

According to CMS data, Dawn Ploucher is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Dawn Ploucher was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.