KATELYN DESIMONE RN
NPI 1003603978
Nurse Anesthetist, Certified Registered in Boston, MA

Active since April 23, 2025PECOS EnrolledAccepts Medicare Assignment
330 BROOKLINE AVE, BOSTON, MA 02215(617) 667-3112 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katelyn Desimone Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN DESIMONE RN (NPI 1003603978) is an individual nurse anesthetist, certified registered in Boston, Massachusetts, licensed in Massachusetts (RN2293776) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003603978
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKATELYN DESIMONECredential: RN
Location Address330 BROOKLINE AVEBoston, MA 02215-5400
Mailing Address330 Brookline AveBoston, MA 02215-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 23, 2025
Last NPPES UpdateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1003603978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MA · RN2293776
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
330 BROOKLINE AVE, Boston, MA 02215

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelyn Desimone Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426553967
PECOS Enrollment IDI20250925000432
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Katelyn Desimone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,006 clinicians in this Medicare group
Internal Medicine
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1093756629 (Massachusetts)
  • 2,579 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Obstetrics & Gynecology (Gynecologic Oncology)
330 BROOKLINE AVE, KIRSTEIN 3
BOSTON, MA 02215
Student in an Organized Health Care Education/Training Program
330 BROOKLINE AVE
BOSTON, MA 02215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Desimone's NPI number?

The NPI number for Katelyn Desimone is 1003603978. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Katelyn Desimone located?

Katelyn Desimone practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-3112.

What is Katelyn Desimone's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Katelyn Desimone enrolled in Medicare?

Yes. Katelyn Desimone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katelyn Desimone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Desimone reassigns Medicare benefits to 2 organizations: Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (Boston, MA) and Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katelyn Desimone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Katelyn Desimone affiliated with any hospitals?

According to CMS data, Katelyn Desimone is affiliated with Beth Israel Deaconess Hospital - Needham and Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Katelyn Desimone was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.