WISLANDE DEROSE
NPI 1023969698
Nurse Practitioner - Family in North Babylon, NY
About Wislande Derose NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WISLANDE DEROSE (NPI 1023969698) is an individual family provider in North Babylon, New York, licensed in New York (F356190-01) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Wislande Derose 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.
Medicare Billing Reassignment
Medicare enrollment records show Wislande Derose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 11412
- Reassigned Medicare billing, New York enrollment
- 51 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Wislande Derose's NPI number?
The NPI number for Wislande Derose is 1023969698. It was assigned to this individual provider in the NPPES registry on February 9, 2026.
Where is Wislande Derose located?
Wislande Derose practices at 106 Elkton Ln, North Babylon, NY 11703. The listed phone number is (347) 856-0086.
What is Wislande Derose's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Wislande Derose enrolled in Medicare?
Yes. Wislande Derose 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 organization bills Medicare for Wislande Derose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wislande Derose reassigns Medicare benefits to Expert Medical Services LLC (New York, NY). The 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 Wislande Derose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Wislande Derose was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Wislande Derose · NPI 1023969698
Family physician in North Babylon, New York. Individual provider, active in the CMS NPPES registry since February 9, 2026.
## Identity
- **NPI:** 1023969698 (Entity type: Individual)
- **Enumerated:** February 9, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F356190-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 106 ELKTON LN, North Babylon, NY 11703-2905
- **Phone:** (347) 856-0086
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Expert Medical Services LLC (NPI 1215019377, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023969698) · Data from the CMS NPPES public registry.