MRS. BETHANY DALESSANDRO (AG-ACNP) – Gerontology Nurse Practitioner, NPI 1770071342
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
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Provider Addresses for MRS. BETHANY DALESSANDRO (AG-ACNP)
Henry Ford Wyandotte Hospital, 2333, Biddle Avenue, Downtown Wyandotte, Wyandotte, Wayne County, Michigan, 48192, United States
WYANDOTTE, MI 481924668
Phone: (734) 246-6000
Type: Location
3314, Raymond Avenue, Dearborn, Wayne County, Michigan, 48124, United States
DEARBORN, MI 481244384
Phone: (313) 492-6600
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 86 Open Payments records for all available years, with a total value of $6,704.
Total Amount is formed as General ($6,704) + Research ($0) + Ownership ($0) = $6,704.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($4,242).
Total Amount
$6,704
General + Research + Ownership
Payments
86
Total payment records
General Amount
$6,704
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
| Company | Amount |
|---|---|
| Medtronic, Inc. | $4,242 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $1,721 |
| AstraZeneca Pharmaceuticals LP | $242 |
| Kestra Medical Technology Services, Inc. | $138 |
| ABBVIE INC. | $136 |
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: 2019-01-25
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 |
|---|---|---|---|---|
| I20190125002566 | I | Nurse Practitioner | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 92 | 74 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 56 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 40 | 38 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 36 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 25 | $0 |
Insurance plans in this area (ZIP 48192)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Gastroenterology, Internal Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| - | MI |
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