ELIZABETH DIANE DASSOW (PA-C) – Medical Physician Assistant, NPI 1568097244
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,649 PHYSICIAN ASSISTANT in IA
Provider Addresses for ELIZABETH DIANE DASSOW (PA-C)
400 E Polk St
Washington, IA 523531237
Phone: (319) 863-3936
Type: Location
2570 24TH ST STE 124
ROCK ISLAND, IL 612015394
Phone:
Type: Mailing
1229 C Ave E
Oskaloosa, IA 525774246
Phone: (641) 780-3360
Type: Location
23019 IA-149
Sigourney, IA 52591
Phone: (641) 622-1170
Type: Location
1002 S Lincoln St
Knoxville, IA 501383121
Phone: (641) 469-4204
Type: Location
2233 W HILLS DR
FAIRFIELD, IA 525564739
Phone:
Type: Mailing
2000 S MAIN ST
FAIRFIELD, IA 525569572
Phone: (641) 469-4204
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $485.
Total Amount is formed as General ($485) + Research ($0) + Ownership ($0) = $485.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($195).
Total Amount
$485
General + Research + Ownership
Payments
25
Total payment records
General Amount
$485
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $195 |
| ANI Pharmaceuticals, Inc. | $95 |
| Amgen Inc. | $70 |
| Lilly USA, LLC | $34 |
| Horizon Therapeutics plc | $26 |
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: 2021-05-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210521000594 | I | Physician Assistant | IA | TBD |
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.
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 52353)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| Interventional Cardiology | IL | |
| Physician Assistant | MO | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | IA | |
| Nurse Practitioner | IA | |
| Sleep Medicine, Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists) | MO | |
| Family Practice | MO | |
| Nurse Practitioner | IA |
Reviews
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