NPIMap

Individual provider Active NPI

Elizabeth Diane Dassow, PA-C

  • Medical Physician Assistant
  • Fairfield, IA
National Provider Identifier
1568097244
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
106586 Issued in IA
Practice address
2000 S Main St
Fairfield, IA 52556-9572
Phone
(641) 469-4204
NPI assigned
Mar 3, 2020
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 085007694 IL
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X 106586 IA Primary

Addresses

Primary practice location

2000 S Main St
Fairfield, IA 52556-9572

Mailing address

2233 W Hills Dr
Fairfield, IA 52556-4739

Other practice location 1

1229 C Ave E
Oskaloosa, IA 52577-4246
Phone (641) 780-3360

Other practice location 2

23019 Ia-149
Sigourney, IA 52591
Phone (641) 622-1170

Other practice location 3

1002 S Lincoln St
Knoxville, IA 50138-3121
Phone (641) 469-4204

Other practice location 4

400 E Polk St
Washington, IA 52353-1237
Phone (319) 863-3936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210521000594 IA Practitioner - Physician Assistant 8022436898 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Wisconsin School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson County HospitalGroup PAC ID 9335059575, 48 clinicians
Van Buren County HospitalGroup PAC ID 7214829530, shared by 7 NPIs, 33 clinicians

Practice addresses (Care Compare)

2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111

304 Franklin St
Keosauqua, IA 52565-1164
Phone (319) 293-3171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
106586IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Hospital Current Accepting new patients
Washington County Hospital CurrentSince Oct 9, 2025 Accepting new patients
Washington County Hospital Single Specialty CurrentSince Apr 1, 2022 Accepting new patients
Van Buren County Hospital Single Specialty CurrentSince Oct 28, 2023 Accepting new patients
Jefferson County Hospital CurrentSince Jul 25, 2025 Accepting new patients
Van Buren County Hospital Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Keokuk County Health Center CurrentSince Jun 1, 2022 Accepting new patients
Van Buren County Hospital CurrentSince Oct 28, 2023 Accepting new patients
Washington County Hospital Single Specialty CurrentSince Apr 1, 2022 Accepting new patients
Jefferson County Hospital Past Accepting new patients
Van Buren County Hospital Past Accepting new patients

Locations

2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204

304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171

23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720

400 E Polk St
Washington, IA 52353
Phone (319) 653-5481

Interoperability endpoints

  • Direct secure messaging: edassow236925@uihcdirect.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/washin-6836dd27

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1568097244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W HILLS DR",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525564739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525569572",
            "telephone_number": "641-469-4204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 C Ave E",
            "address_purpose": "LOCATION",
            "city": "Oskaloosa",
            "state": "IA",
            "postal_code": "525774246",
            "country_code": "US",
            "telephone_number": "641-780-3360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23019 IA-149",
            "address_purpose": "LOCATION",
            "city": "Sigourney",
            "state": "IA",
            "postal_code": "52591",
            "country_code": "US",
            "telephone_number": "641-622-1170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 S Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "IA",
            "postal_code": "501383121",
            "country_code": "US",
            "telephone_number": "641-469-4204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E Polk St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IA",
            "postal_code": "523531237",
            "country_code": "US",
            "telephone_number": "319-863-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASSOW",
        "first_name": "ELIZABETH",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085007694",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "106586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

Verify at the official NPI Registry.