MRS. KIMBERLY DACHISEN NP
NPI 1457917007
Nurse Practitioner - Pediatrics in Newton, NJ
About Mrs. Kimberly Dachisen Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIMBERLY DACHISEN NP (NPI 1457917007) is an individual pediatrics provider in Newton, New Jersey, licensed in New Jersey (26NJ01437200) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kimberly Dachisen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Dachisen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 220 clinicians in this Medicare group
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
- 909 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 07860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWTON, NJ 07860
NEWTON, NJ 07860
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 Kimberly Dachisen's NPI number?
The NPI number for Kimberly Dachisen is 1457917007. It was assigned to this individual provider in the NPPES registry on May 18, 2019.
Where is Kimberly Dachisen located?
Kimberly Dachisen practices at 39 Newton Sparta Rd, Newton, NJ 07860. The listed phone number is (973) 383-9841.
What is Kimberly Dachisen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kimberly Dachisen enrolled in Medicare?
Yes. Kimberly Dachisen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kimberly Dachisen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Dachisen reassigns Medicare benefits to 2 organizations: Memorial Pediatric Group (New York, NY) and Advocare, LLC (Marlton, NJ). 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 Kimberly Dachisen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Dachisen was last updated on July 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mrs. Kimberly Dachisen, NP · NPI 1457917007
Pediatrics physician in Newton, New Jersey. Individual provider, active in the CMS NPPES registry since May 18, 2019.
## Identity
- **NPI:** 1457917007 (Entity type: Individual)
- **Enumerated:** May 18, 2019
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 26NJ01437200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 39 NEWTON SPARTA RD, Newton, NJ 07860-2773
- **Phone:** (973) 383-9841
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Memorial Pediatric Group (NPI 1750352381, New York, NY); Advocare, LLC (NPI 1770538696, Marlton, NJ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457917007) · Data from the CMS NPPES public registry.