MS. JEANNA M DESISTO NURSE PRACTITIONER
NPI 1063285666
Nurse Practitioner - Acute Care in New York, NY

Active since November 06, 2023PECOS EnrolledAccepts Medicare Assignment
1468 MADISON AVE, NEW YORK, NY 10029(212) 241-6500 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Jeanna M Desisto Nurse Practitioner NPPES

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

MS. JEANNA M DESISTO NURSE PRACTITIONER (NPI 1063285666) is an individual acute care provider in New York, New York, licensed in New York (F432777) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Of Suffern, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063285666
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. JEANNA M DESISTOCredential: NURSE PRACTITIONER
Location Address1468 MADISON AVENew York, NY 10029-6508
Mailing Address42 Laudaten WayWarwick, NY 10990-3835 · (347) 628-2277
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 6, 2023
NPPES CertifiedNovember 4, 2023
NPI 1063285666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · F432777
1468 MADISON AVE, New York, NY 10029

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Jeanna M Desisto Nurse Practitioner 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 ID5193234839
PECOS Enrollment IDI20250603003820
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.

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330158
Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

Nurse Practitioner
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Counselor (Mental Health)
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029

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 Jeanna Desisto's NPI number?

The NPI number for Jeanna Desisto is 1063285666. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Jeanna Desisto located?

Jeanna Desisto practices at 1468 Madison Ave, New York, NY 10029. The listed phone number is (212) 241-6500.

What is Jeanna Desisto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jeanna Desisto enrolled in Medicare?

Yes. Jeanna Desisto 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.

Is Jeanna Desisto affiliated with any hospitals?

According to CMS data, Jeanna Desisto is affiliated with Good Samaritan Hospital Of Suffern.

When was this NPI record last updated?

The NPPES record for Jeanna Desisto was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.