CARLY DASSOW (APNP) – Registered Nurse, NPI 1245668433
Registered Nurse
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Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for CARLY DASSOW (APNP)
525 8TH ST
APT 5
STOUGHTON, WI 535892579
Phone: (715) 212-1468
Type: Mailing
525 8th St
Apt 5
Stoughton, WI 535892579
Phone: (715) 212-1468
Type: Location
1300 S Century Ave
Waunakee, WI 535972386
Phone: (608) 849-4315
Fax: (608) 850-1606
Type: Location
1821 S STOUGHTON RD
MADISON, WI 537162257
Phone: (608) 260-6000
Fax: (608) 260-6451
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: 2023-09-13
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 |
|---|---|---|---|---|
| I20230913002567 | I | Nurse Practitioner | WI | 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 |
|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 23 | 20 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 21 | 11 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 17 | 13 | $0 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 53589)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | WA | |
| - | WI | |
| O P T O M E T R Y | WI | |
| N E U R O S U R G E R Y | NE | |
| - | WI | |
| Physician Assistant | WI | |
| Family Practice | WI | |
| Cardiovascular Disease (Cardiology) | TX | |
| - | WI | |
| Family Practice | WI |
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