DAWN TERIE PLOUCHER APRN
NPI 1316668049
Nurse Practitioner - Psychiatric/Mental Health in Smyrna, DE
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, maintains 3 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
7Medicare enrollment records show Dawn Ploucher reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Smyrna, DE 19977
- Reassigned Medicare billing, Delaware and Maryland enrollments
Newark, DE 19718
- Reassigned Medicare billing, Delaware and Pennsylvania enrollments
- Medicare enrollment name: Christiana Care Health Services Inc
- Also billed through NPI 1023445889 (Pennsylvania)
- 1,531 clinicians in this Medicare group
Georgetown, DE 19947
- Reassigned Medicare billing, Delaware enrollment
- 32 clinicians in this Medicare group
Lewes, DE 19958
- Reassigned Medicare billing, Delaware enrollment
- 8 clinicians in this Medicare group
Bala Cynwyd, PA 19004
- Reassigned Medicare billing, Delaware enrollment
- 41 clinicians in this Medicare group
Riverdale, MD 20737
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 78 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 128 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 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.
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.
Which organizations bill Medicare for Dawn Ploucher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Ploucher reassigns Medicare benefits to 7 organizations: Holisticare Of Delaware LLC (Smyrna, DE), Christiana Care Health System (Newark, DE), Sun Behavioral Delaware, LLC (Georgetown, DE), Delaware Psychological Services LLC (Lewes, DE), Vista Medical Services, Inc. (Bala Cynwyd, PA) and 2 more organizations, listed in the Medicare section above. 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 Dawn Ploucher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dawn Ploucher accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan 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.
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 19 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.
# Dawn Terie Ploucher, APRN · NPI 1316668049
Psychiatric/Mental Health physician in Smyrna, Delaware. Individual provider, active in the CMS NPPES registry since September 9, 2022.
## Identity
- **NPI:** 1316668049 (Entity type: Individual)
- **Enumerated:** September 9, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** L8-0010356 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 74 E GLENWOOD AVE # 295, Smyrna, DE 19977-1002
- **Phone:** (302) 513-1913
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Holisticare Of Delaware LLC (NPI 1326898248, Smyrna, DE); Christiana Care Health System (NPI 1770615494, Newark, DE); Sun Behavioral Delaware, LLC (NPI 1891213179, Georgetown, DE); Delaware Psychological Services LLC (NPI 1659791440, Lewes, DE); Vista Medical Services, Inc. (NPI 1659452027, Bala Cynwyd, PA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316668049) · Data from the CMS NPPES public registry.