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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: August 02, 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, Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

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.

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.

What insurance does Edwige Djassa accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona 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 13 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.