Kelly Theresia Dassow, FNP
NPI 1184359499ActiveIndividual· Nurse Practitioner, Family· Stevens Point, WI
Nurse Practitioner, Family (FNP) in Stevens Point, Wisconsin, licensed in WI, with an NPI issued in July 2022. 147 Medicare patients in 2024, $18,756 paid; nearly all of their 149 Part D prescriptions were generic (95%).
Overview
| NPI | 1184359499 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Jul 20, 2022 |
| Last updated in NPPES | Feb 28, 2024 |
| Certified by provider | Feb 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 13193 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 147 |
|---|---|
| Services billed | 431 across 8 procedure codes |
| Paid by Medicare | $18,756 |
Part D prescriptions in 2024
| Prescriptions (claims) | 149 · 167 30-day fills |
|---|---|
| Patients | 40 |
| Total drug cost | $6,425 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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