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EDWIGE DEA DJASSA FNP
NPI 1780979625
Nurse Practitioner - Family in Phoenix, AZ

Active since June 17, 2011PECOS EnrolledAccepts Medicare Assignment
4041 N CENTRAL AVE BLDG C&D, PHOENIX, AZ 85012(602) 279-5262 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edwige Dea Djassa Fnp NPPES

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

EDWIGE DEA DJASSA FNP (NPI 1780979625) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP10635) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1780979625
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDWIGE DEA DJASSACredential: FNP
Location Address4041 N CENTRAL AVE BLDG C&DPhoenix, AZ 85012-3330
Mailing Address4041 N Central Ave Bldg C&dPhoenix, AZ 85012-3330 · (602) 279-5262
Phone(602) 279-5262
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 17, 2011
Last NPPES UpdateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1780979625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP10635
4041 N CENTRAL AVE BLDG C&D, Phoenix, AZ 85012
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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

Edwige Dea Djassa Fnp 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 ID6709149206
PECOS Enrollment IDI20250307002467
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Edwige Djassa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Native Health
Same address
Federally Qualified Health Center (FQHC)
4041 N CENTRAL AVE BLDG C
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 24 clinicians in this Medicare group
NPI 1427386853 (602) 279-5262
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
1.3 mi
Public Health or Welfare
4212 N 16TH ST
Phoenix, AZ 85016
  • Reassigned Medicare billing, Texas enrollment
  • 599 clinicians in this Medicare group
NPI 1083643738 (602) 263-1200
Signify Health, LLC
882 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona enrollment
  • 556 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 85012 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Edwige Djassa's NPI number?

The NPI number for Edwige Djassa is 1780979625. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Edwige Djassa located?

Edwige Djassa practices at 4041 N Central Ave Bldg C&d, Phoenix, AZ 85012. The listed phone number is (602) 279-5262.

What is Edwige Djassa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Edwige Djassa enrolled in Medicare?

Yes. Edwige Djassa 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 Edwige Djassa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwige Djassa reassigns Medicare benefits to 3 organizations: Native Health (Phoenix, AZ), Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (Phoenix, AZ) and Signify Health, LLC (Dallas, TX). 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 Edwige Djassa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edwige Djassa accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Edwige Djassa 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 Edwige Djassa was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.