MRS. KIMBERLY DACHISEN NP
NPI 1457917007
Nurse Practitioner - Pediatrics in Newton, NJ

Q: 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.

Q: What is Kimberly Dachisen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Dachisen was last updated on July 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 18, 2019PECOS Enrolled

39 NEWTON SPARTA RD, NEWTON, NJ 07860(973) 383-9841 Get Directions Write a Review

NPPES record last updated: July 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2025, Feb 28, 2023, May 18, 2019 (3 updates tracked since 2019).

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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

NPI1457917007

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. KIMBERLY DACHISENCredential: NP

Location Address39 NEWTON SPARTA RDNewton, NJ 07860-2773

Mailing Address401 Route 73 N Ste 320Marlton, NJ 08053-3426 · (973) 383-9841

Phone(973) 383-9841

Sole ProprietorNo

Enumeration DateMay 18, 2019

Last NPPES UpdateJuly 5, 20253 updates tracked since enumeration

NPPES CertifiedJuly 5, 2025

✔ NPI 1457917007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0200X

License✔ Licensed in NJ · 26NJ01437200

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 344395 (NY), 26NJ01437200 (NJ)

39 NEWTON SPARTA RD, Newton, NJ 07860

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Secondary Practice Location 1

Location 11275 York AveNew York, NY 10065-6007 · Phone (212) 639-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly Dachisen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

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