Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Theresia Dassow, FNP

Individual provider Family Nurse Practitioner · NPI 1184359499

Kelly Theresia Dassow, FNP is a Nurse Practitioner in Stevens Point, Wisconsin. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4100 State Highway 66
Stevens Point, WI 54482-8410
Phone: (715) 997-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 N Oak Ave, Marshfield, WI 54449-5703 — (715) 387-1713

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 13193 (WI)

Record details

NPI number1184359499
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 20, 2022
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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