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ELISSA BETH DINSMORE NP
NPI 1790882025
Nurse Practitioner - Family in Fairborn, OH

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
1045 CHANNINGWAY DR STE A, FAIRBORN, OH 45324(937) 878-8644(937) 878-8646 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elissa Beth Dinsmore Np NPPES

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

ELISSA BETH DINSMORE NP (NPI 1790882025) is an individual family provider in Fairborn, Ohio, licensed in Ohio (COA.11091-NP) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1790882025
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELISSA BETH DINSMORECredential: NP
Location Address1045 CHANNINGWAY DR STE AFairborn, OH 45324-9252
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Phone(937) 878-8644
Fax(937) 878-8646
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2005
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
✔ NPI 1790882025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · COA.11091-NP
Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024166938 (VA)
1045 CHANNINGWAY DR STE A, Fairborn, OH 45324
Open in Google Maps ↗

Secondary Practice Location 1

Location 13333 Burnet Ave, MLC 2010Cincinnati, OH 45229-3026 · Phone (513) 636-7475

Other Identifiers 1

Medicaid010335779VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Elissa Beth Dinsmore Np 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 ID7214030865
PECOS Enrollment IDI20100111000454
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

2

Medicare enrollment records show Elissa Dinsmore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Physicians Inc
4.0 mi
Family Medicine
3359 KEMP RD, SUITE 100
Beavercreek, OH 45431
  • Reassigned Medicare billing, Ohio enrollment
  • 364 clinicians in this Medicare group
NPI 1891049722 (937) 562-2290
The Little Clinic Of Ohio LLC
49 mi
Family
7132 HAMILTON AVE
Cincinnati, OH 45231
  • Reassigned Medicare billing, Ohio enrollment
  • 537 clinicians in this Medicare group
NPI 1982761896 (513) 728-2780

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
134 services97 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
36 services27 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45324 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES

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

DR. DARCI LAVONNE BROWN DO
Family Medicine
1045 CHANNINGWAY DR STE A
FAIRBORN, OH 45324
Greene County (937) 878-8644

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 Elissa Dinsmore's NPI number?

The NPI number for Elissa Dinsmore is 1790882025. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Elissa Dinsmore located?

Elissa Dinsmore practices at 1045 Channingway Dr Ste A, Fairborn, OH 45324. The listed phone number is (937) 878-8644.

What is Elissa Dinsmore's specialty?

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

Is Elissa Dinsmore enrolled in Medicare?

Yes. Elissa Dinsmore 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 Elissa Dinsmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elissa Dinsmore reassigns Medicare benefits to 2 organizations: Alliance Physicians Inc (Beavercreek, OH) and The Little Clinic Of Ohio LLC (Cincinnati, OH). 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 Elissa Dinsmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elissa Dinsmore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Elissa Dinsmore 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.

Is Elissa Dinsmore affiliated with any hospitals?

According to CMS data, Elissa Dinsmore is affiliated with Kettering Health Dayton and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Elissa Dinsmore was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.