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WISLANDE DEROSE
NPI 1023969698
Nurse Practitioner - Family in North Babylon, NY

Active since February 09, 2026PECOS Enrolled
106 ELKTON LN, NORTH BABYLON, NY 11703(347) 856-0086 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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.

NPPES Registry Identity

NPI1023969698
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameWISLANDE DEROSE
Location Address106 ELKTON LNNorth Babylon, NY 11703-2905
Mailing Address106 Elkton LnNorth Babylon, NY 11703-2905
Phone(347) 856-0086
Sole ProprietorYes
Enumeration DateFebruary 9, 2026
NPPES CertifiedFebruary 8, 2026
✔ NPI 1023969698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F356190-01
106 ELKTON LN, North Babylon, NY 11703
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wislande Derose is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 enrollment system.

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 6 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.