MARYANN DASSAH AGACNP-BC
NPI 1578106910
Nurse Practitioner - Acute Care in New York, NY

Active since October 17, 2019PECOS EnrolledAccepts Medicare Assignment
87.06/100
CMS Quality Rating
525 EAST 68TH STREET, BAKER 15, NEW YORK, NY 10065(646) 659-1658 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2020, Oct 19, 2019 (2 updates tracked since 2019).

About Maryann Dassah Agacnp-bc NPPES

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

MARYANN DASSAH AGACNP-BC (NPI 1578106910) is an individual acute care provider in New York, New York, licensed in New York (F431513) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1578106910
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMARYANN DASSAHCredential: AGACNP-BC
Location Address525 EAST 68TH STREET, BAKER 15New York, NY 10065
Mailing Address80 Park Ave Apt 15pNew York, NY 10016-2547
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 17, 2019
Last NPPES UpdateJanuary 30, 20202 updates tracked since enumeration
NPI 1578106910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · F431513
525 EAST 68TH STREET, New York, NY 10065

Secondary Practice Locations 3

Location 180 Park Ave Apt 15PNew York, NY 10016-2547 · Phone (646) 659-1658
Location 280 Park AveNew York, NY 10016-2553 · Phone (646) 659-1658
Location 35645 Main StFlushing, NY 11355-5045 · Phone (646) 659-1658

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

Maryann Dassah Agacnp-bc 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 ID2769865211
PECOS Enrollment IDI20220816000814
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services20 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

87.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.48
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
525 EAST 68TH STREET, EMERGENCY DEPARTMENT
NEW YORK, NY 10065
Dietitian, Registered
525 EAST 68TH STREET
NEW YORK, NY 10065
Radiology (Neuroradiology)
525 EAST 68TH STREET, STARR 8A
NEW YORK, NY 10065
Pediatrics (Pediatric Hematology-Oncology)
525 EAST 68TH STREET, NEW YORK- PRESBYTERIAN HOSPITAL - BOX 139
NEW YORK, NY 10065
Pediatrics (Neonatal-Perinatal Medicine)
525 EAST 68TH STREET, N506
NEW YORK, NY 10065
Radiology (Diagnostic Radiology)
525 EAST 68TH STREET, BOX 141 - RADIOLOGY DEPARTMENT
NEW YORK, NY 10065
Pathology (Cytopathology)
525 EAST 68TH STREET, F-766B
NEW YORK, NY 10065
Internal Medicine
525 EAST 68TH STREET, PAYSON 2
NEW YORK, NY 10065

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 Maryann Dassah's NPI number?

The NPI number for Maryann Dassah is 1578106910. It was assigned to this individual provider in the NPPES registry on October 17, 2019.

Where is Maryann Dassah located?

Maryann Dassah practices at 525 East 68th Street Baker 15, New York, NY 10065. The listed phone number is (646) 659-1658.

What is Maryann Dassah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Maryann Dassah enrolled in Medicare?

Yes. Maryann Dassah 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.

When was this NPI record last updated?

The NPPES record for Maryann Dassah was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.