TASHA WASSERMAN (FNP-BC) – Family Nurse Practitioner, NPI 1003258120

TASHA WASSERMAN (FNP-BC) is a healthcare provider. based in Lake havasu city, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 278402 (AZ). The NPI Number for TASHA WASSERMAN (FNP-BC) is 1003258120

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
TASHA WASSERMAN (FNP-BC)
NPI
1003258120
Phone
(928) 854-5400
Address
1801 Mesquite Ave
Enumeration Date
18 July 2013
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7024305333
Graduation Year
2010 (16 years ago)
PAC ID
0648574681
Group Practice PAC ID
9830277136
Professional Enrollment ID
I20230126002521
Address ID
NV891482417LA9097XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:12State licenses:3Digital endpointsOther names

7,575 NURSE PRACTITIONER in AZ

Provider Addresses for TASHA WASSERMAN (FNP-BC)

  • 1801 Mesquite Ave

    Lake Havasu City, AZ 864035668

    Phone: (928) 854-5400

    Type: Location

  • 5200 MEADOWS RD

    STE 250

    LAKE OSWEGO, OR 970353202

    Phone: (503) 445-2200

    Type: Mailing

  • 9097 W POST RD STE 100

    LAS VEGAS, NV 891482417

    Phone: (702) 430-5333

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 106 Open Payments records for all available years, with a total value of $2,201.

Total Amount is formed as General ($2,201) + Research ($0) + Ownership ($0) = $2,201.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($586).

Total Amount

$2,201

General + Research + Ownership

Payments

106

Total payment records

General Amount

$2,201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-31

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230126002521INurse PractitionerNVTBD
I20230131001066INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg7,00029$0
17003Destruction of precancer skin growth, 2-14 growths1,045222$0
99213Established patient office or other outpatient visit, 20-29 minutes403335$0
99214Established patient office or other outpatient visit, 30-39 minutes358258$0
17000Destruction of precancer skin growth, 1 growth324278$0
View full utilization report →

Insurance plans in this area (ZIP 86403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830277136View full group profile
NameSpecialtyState
D E R M A T O L O G YNV
-NV
-NV
Physician AssistantNV
Physician AssistantOH
Physician AssistantNY
Radiation OncologyNV
Physician AssistantAZ
Nurse PractitionerNV
Physician AssistantNV

Reviews

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Frequently asked questions

What is the registry number for TASHA WASSERMAN (FNP-BC)?
The registry entry for TASHA WASSERMAN (FNP-BC) shows NPI 1003258120.
Does the public listing show TASHA WASSERMAN (FNP-BC) as active?
TASHA WASSERMAN (FNP-BC)'s NPI record reflects an active status in NPPES.
What does the directory say TASHA WASSERMAN (FNP-BC) does?
Insurance directories may phrase it differently, but here TASHA WASSERMAN (FNP-BC) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to TASHA WASSERMAN (FNP-BC)?
The directory associates TASHA WASSERMAN (FNP-BC) with Lake Havasu City, Arizona. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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