MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN) – Gerontology Nurse Practitioner, NPI 1629643242

MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN) is a healthcare provider. based in Dalton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials RN/BSN. They hold a License No. 364169 (OH). The NPI Number for MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN) is 1629643242

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN)
NPI
1629643242
Phone
(330) 749-2044
Address
13984 LAKE COURT DR
Enumeration Date
25 May 2021
Last Update Date
7 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304604115
Graduation Year
2019 (7 years ago)
PAC ID
3476815044
Group Practice PAC ID
7618022849
Professional Enrollment ID
I20230509002720
Address ID
OH447183613CA4808XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN)

  • 13984 LAKE COURT DR

    DALTON, OH 446189291

    Phone: (330) 749-2044

    Fax: (330) 345-0001

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-05-09

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
I20230509002720INurse PractitionerOHTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5727$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2914$0
View full utilization report →

Insurance plans in this area (ZIP 44618)

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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: 7618022849View full group profile
NameSpecialtyState
Internal Medicine, Geriatric MedicineOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do payers reference MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN)?
For MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN), use NPI 1629643242 as the unique 10-digit identifier.
Would MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN) appear as active to a payer?
You can treat MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN)?
MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN)'s record emphasizes Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN) associated with Dalton?
Public fields place MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN) around Dalton, Ohio. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MRS. AMBER MARIE DWAN GRASSMAN (RN/BSN) is noted as May 25, 2021 where the registry provides it.

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