MISS ASHLEY VANDERDASSON (FNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1225300395

MISS ASHLEY VANDERDASSON (FNP, PMHNP) is a healthcare provider. based in Burns, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP, PMHNP. They hold a License No. 201150183NP (OR). The NPI Number for MISS ASHLEY VANDERDASSON (FNP, PMHNP) is 1225300395

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MISS ASHLEY VANDERDASSON (FNP, PMHNP)
NPI
1225300395
Phone
(541) 573-8376
Address
348 W ADAMS ST
Enumeration Date
3 February 2012
Last Update Date
23 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415738376
Graduation Year
2011 (15 years ago)
PAC ID
1456584820
Professional Enrollment ID
I20170109002556
Address ID
OR977201710BU348XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for MISS ASHLEY VANDERDASSON (FNP, PMHNP)

  • 348 W ADAMS ST

    BURNS, OR 977201710

    Phone: (541) 573-8376

    Fax: (541) 573-8378

    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: 2017-01-09

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
I20170109002556INurse PractitionerORTBD

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
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional16316$0
90834Psychotherapy, 45 minutes7312$0
99214Established patient office or other outpatient visit, 30-39 minutes6116$0
99213Established patient office or other outpatient visit, 20-29 minutes4518$0
99212Established patient office or other outpatient visit, 10-19 minutes3315$0
View full utilization report →

Insurance plans in this area (ZIP 97720)

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Reviews

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Frequently asked questions

What is the registry number for MISS ASHLEY VANDERDASSON (FNP, PMHNP)?
The registry entry for MISS ASHLEY VANDERDASSON (FNP, PMHNP) shows NPI 1225300395.
Does the public listing show MISS ASHLEY VANDERDASSON (FNP, PMHNP) as active?
MISS ASHLEY VANDERDASSON (FNP, PMHNP)'s NPI record reflects an active status in NPPES.
How should patients interpret MISS ASHLEY VANDERDASSON (FNP, PMHNP)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for MISS ASHLEY VANDERDASSON (FNP, PMHNP). Clinical services aligned with this taxonomy classification.
Which community is linked to MISS ASHLEY VANDERDASSON (FNP, PMHNP)?
MISS ASHLEY VANDERDASSON (FNP, PMHNP) shows a connection to Burns, Oregon in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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