EVELYN MARCIA DESSER (RN, MN, FNP-BC) – Family Nurse Practitioner, NPI 1255459129

EVELYN MARCIA DESSER (RN, MN, FNP-BC) is a healthcare provider. based in Culver city, California. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, MN, FNP-BC. They hold a License No. RN347980 (CA). The NPI Number for EVELYN MARCIA DESSER (RN, MN, FNP-BC) is 1255459129

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
EVELYN MARCIA DESSER (RN, MN, FNP-BC)
NPI
1255459129
Phone
(310) 621-1104
Address
5412 JANISANN AVE
Enumeration Date
27 March 2007
Last Update Date
26 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3105470202
Graduation Year
1990 (36 years ago)
PAC ID
9931337078
Group Practice PAC ID
8022166826
Professional Enrollment ID
I20170228001967
Address ID
CA907312521SA593XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for EVELYN MARCIA DESSER (RN, MN, FNP-BC)

  • 5412 JANISANN AVE

    CULVER CITY, CA 902305307

    Phone: (310) 621-1104

    Fax: (310) 398-3611

    Type: Mailing

  • 10899 WELLWORTH AVE.

    LOS ANGELES, CA 900244918

    Phone: (866) 389-2727

    Fax: (401) 216-3854

    Type: Location

  • 10899 Wellworth Ave.

    Los Angeles, CA 900244918

    Phone: (866) 389-2727

    Fax: (401) 216-3854

    Type: Location

  • 593 W 6TH ST

    SAN PEDRO, CA 907312521

    Phone: (310) 547-0202

    Fax: (310) 547-5096

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $777.

Total Amount is formed as General ($777) + Research ($0) + Ownership ($0) = $777.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($121).

Total Amount

$777

General + Research + Ownership

Payments

26

Total payment records

General Amount

$777

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2017-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20170228001967INurse PractitionerCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90230)

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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: 8022166826View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
P O D I A T R YCA
Family PracticeCA
Physician AssistantCA
Clinical Social WorkerCA
-TN
Family PracticeCA
-CA
Family PracticeCT
Physician AssistantCA

Reviews

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Frequently asked questions

What NPI should I save for EVELYN MARCIA DESSER (RN, MN, FNP-BC)?
Save NPI 1255459129 if you need a stable reference for EVELYN MARCIA DESSER (RN, MN, FNP-BC).
Is EVELYN MARCIA DESSER (RN, MN, FNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does EVELYN MARCIA DESSER (RN, MN, FNP-BC) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for EVELYN MARCIA DESSER (RN, MN, FNP-BC). Clinical services aligned with this taxonomy classification.
What location shows for EVELYN MARCIA DESSER (RN, MN, FNP-BC)?
We surface Culver City, California for EVELYN MARCIA DESSER (RN, MN, FNP-BC) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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