Thomas Francis Dissette Jr., DNP, APRN, FNP-C
NPI 1235912791ActiveIndividual· Nurse Practitioner, Family· Maryville, IL
Nurse Practitioner, Family (DNP, APRN, FNP-C) in Maryville, Illinois, licensed in IL and MO, with an NPI issued in August 2023. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1235912791 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP, APRN, FNP-C |
| Sole proprietor | No |
| NPI issued | Aug 17, 2023 |
| Last updated in NPPES | Aug 24, 2024 |
| Certified by provider | Aug 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209.029957 | IL |
| Registered Nurse, Emergency | 163WE0003X | 041507231 | IL |
| Registered Nurse, Emergency | 163WE0003X | 2009011016 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Maryville
- 1447638887
- 1235077660
- 1275216699
- 1821600693
- 1730065723
- 1538863808
- 1235578410
- 1508597972
- 1942675673
- 1922560101
- 1265229538
- 1932357472