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Active NPI 1245668433 Individual Practitioner Female Practitioner

Carly Dassow , APNP

Nurse Practitioner • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carly Dassow, APNP is a certified Nurse Practitioner practicing in Madison, WI. With approximately 3 years of clinical experience since completing medical education in 2023, Carly Dassow delivers high-quality medical care to the local community at 1821 S STOUGHTON RD.

Carly Dassow is affiliated with Dean Health Systems Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, nursing facility discharge management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1821 S Stoughton Rd

Madison, WI 537162257

Telephone 6082606000
Fax 6082606451
Associated Practice Facility / Clinic
🏢 Dean Health Systems, Inc Facility NPI 1578570974

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Madison, WI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -7.2 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
519 Specialists

Practicing in Madison, WI (4030 Statewide)

Telehealth Adoption Rate
32.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dassow (3 Years) 3 Yrs
Madison Specialty Average (10.2 Years) 10.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
108 53 $210.00 $59.04
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
100 20 $210.00 $59.04
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
78 59 $432.00 $121.59
99316 Nursing facility discharge management, more than 30 minutes
56 51 $322.00 $103.71
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
53 21 $302.00 $85.31
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
37 21 $432.00 $121.58
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
35 28 $302.00 $85.37

Medical Specialties & State Licenses

CMS Verified: 2024-11-20
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 14180

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1245668433 (WI)

Hospital & Practice Group Affiliations

Dean Health Systems Inc

1300 S Century Ave, Waunakee, WI 535972386

Phone: 6088494315

Secondary Practice Locations

525 8th St, Apt 5

Stoughton, WI 535892579

Phone: 7152121468

1300 S Century Ave

Waunakee, WI 535972386

Phone: 6088494315

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003229055

Doctor of Medicine (M.D.)

Dr. Yingyu Gao , MD

Allergy & Immunology

NPI 1003435058

Doctor of Medicine (M.D.)

Dr. Maria Din , DO

Family Medicine

NPI 1013351055

Doctor of Osteopathic Medicine (D.O.)

Jessica Poirier

Family Medicine

NPI 1013655448
Dr. Rosa Gilestra , MD

Family Medicine

NPI 1013952894

Doctor of Medicine (M.D.)

Tracy Todorovic , SLP

Speech-Language Pathologist

NPI 1023685542

Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location November 20, 2024

Registered at 1821 S STOUGHTON RD, MADISON, WI 537162257 (Tel: 6082606000)

📍
Updated Business Mailing Address November 20, 2024

Registered at 1821 S STOUGHTON RD, MADISON, WI 537162257 (Tel: 6082606000)

📍
Updated Practice Location August 30, 2023

Registered at 1300 S CENTURY AVE, WAUNAKEE, WI 535972386 (Tel: 6088494315)

📍
Updated Business Mailing Address August 30, 2023

Registered at 1300 S CENTURY AVE, WAUNAKEE, WI 535972386 (Tel: 6088494315)

👤
Provider Name / Credentials Updated August 30, 2023

Recorded as CARLY DASSOW, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2023

Nurse Practitioner (License #14180 in WI)

NPI Profile Active October 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2013

Registered at 525 8TH ST, APT 5, STOUGHTON, WI 535892579 (Tel: 7152121468)

📍
Updated Business Mailing Address October 24, 2013

Registered at 525 8TH ST, APT 5, STOUGHTON, WI 535892579 (Tel: 7152121468)

👤
Provider Name / Credentials Updated October 24, 2013

Recorded as CARLY DASSOW, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2013

Registered Nurse (License #195414-30 in WI)

🟢
Initial NPI Registration & Enumeration October 24, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245668433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2013
Last Update: November 20, 2024
Sole Proprietor: Yes

Mailing Address

1821 S Stoughton Rd

Madison, WI 537162257

Phone: 6082606000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.