CARISSA A DAHL
NPI 1356808596
Family Medicine in Ellensburg, WA

Active since February 25, 2019PECOS EnrolledAccepts Medicare Assignment
77.46/100
CMS Quality Rating
716 E MANITOBA AVE, ELLENSBURG, WA 98926(509) 933-8777 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carissa A Dahl NPPES

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

CARISSA A DAHL (NPI 1356808596) is an individual family medicine provider in Ellensburg, Washington, licensed in Washington (AP60932540) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356808596
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCARISSA A DAHL
Location Address716 E MANITOBA AVEEllensburg, WA 98926-3842
Mailing Address716 E Manitoba AveEllensburg, WA 98926-3842 · (509) 933-8777
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 25, 2019
NPI 1356808596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · AP60932540
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
716 E MANITOBA AVE, Ellensburg, WA 98926

Accepted 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

Carissa A Dahl 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 ID4587907357
PECOS Enrollment IDI20190517001325
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 2

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

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98926 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.16
Promoting Interoperability100
Improvement Activities40
Cost50.69

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$21.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$116.05 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
2 suppliers16 claims960 services$6.38 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
1 supplier19 claims455 services$0.16 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers19 claims19 services$26.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
716 E MANITOBA AVE
ELLENSBURG, WA 98926
Nurse Practitioner
716 E MANITOBA AVE
ELLENSBURG, WA 98926
Nurse Practitioner (Family)
716 E MANITOBA AVE
ELLENSBURG, WA 98926
Physician Assistant (Medical)
716 E MANITOBA AVE
ELLENSBURG, WA 98926
Family Medicine
716 E MANITOBA AVE
ELLENSBURG, WA 98926
Specialist
716 E MANITOBA AVE
ELLENSBURG, WA 98926
Specialist
716 E MANITOBA AVE
ELLENSBURG, WA 98926
Physician Assistant (Medical)
716 E MANITOBA AVE
ELLENSBURG, WA 98926

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 Carissa Dahl's NPI number?

The NPI number for Carissa Dahl is 1356808596. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Where is Carissa Dahl located?

Carissa Dahl practices at 716 E Manitoba Ave, Ellensburg, WA 98926. The listed phone number is (509) 933-8777.

What is Carissa Dahl's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carissa Dahl enrolled in Medicare?

Yes. Carissa Dahl 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 Carissa Dahl accept?

Health plans from Providence Health Plan list Carissa Dahl 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 Carissa Dahl affiliated with any hospitals?

According to CMS data, Carissa Dahl is affiliated with Yakima Valley Memorial and Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Carissa Dahl was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.