ELISSA BETH DINSMORE (NP) – Family Nurse Practitioner, NPI 1790882025

ELISSA BETH DINSMORE (NP) is a healthcare provider. based in Cincinnati, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024166938 (VA). The NPI Number for ELISSA BETH DINSMORE (NP) is 1790882025

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ELISSA BETH DINSMORE (NP)
NPI
1790882025
Phone
(513) 636-7475
Address
3333 Burnet Ave
Enumeration Date
20 September 2006
Last Update Date
21 April 2023

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9378788644
Graduation Year
2005 (21 years ago)
PAC ID
7214030865
Group Practice PAC ID
0840104360
Professional Enrollment ID
I20100111000454
Address ID
OH453249252FA1045XDRXX301

Contacts

Secure Messaging
edinsmore553337@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for ELISSA BETH DINSMORE (NP)

  • 3333 Burnet Ave

    MLC 2010

    Cincinnati, OH 452293026

    Phone: (513) 636-7475

    Type: Location

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Fax: (937) 522-8068

    Type: Mailing

  • 1045 CHANNINGWAY DR STE A

    FAIRBORN, OH 453249252

    Phone: (937) 878-8644

    Fax: (937) 878-8646

    Type: Location

  • Cincinnati Children’s Hospital Medical Center, 3333, Burnet Avenue, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45229-3026, United States

    MLC 2010

    CINCINNATI, OH 452293026

    Phone:

    Type: Mailing

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: 2010-01-11

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
I20100111000454INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes11492$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3232$0
99213Established patient office or other outpatient visit, 20-29 minutes2423$0
83036Hemoglobin a1c level1615$0
90662Influenza vaccine split virus, preservative free1111$0
View full utilization report →

Insurance plans in this area (ZIP 45229)

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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: 0840104360View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for ELISSA BETH DINSMORE (NP)?
ELISSA BETH DINSMORE (NP) — NPI 1790882025 — is the standard way to identify this listing.
Does the file indicate ELISSA BETH DINSMORE (NP) is practicing under active NPI?
Directory data currently reports ELISSA BETH DINSMORE (NP) as active.
What is ELISSA BETH DINSMORE (NP)'s primary classification?
Family Nurse Practitioner is the headline specialty for ELISSA BETH DINSMORE (NP) here. Clinical services aligned with this taxonomy classification.
Does ELISSA BETH DINSMORE (NP) list a practice location?
Patients near Cincinnati, Ohio may find ELISSA BETH DINSMORE (NP) in results; validate coverage separately.
Why does ELISSA BETH DINSMORE (NP) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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