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DR. NICOLE GRIGGS DESISTO MD
NPI 1083453716
Student in an Organized Health Care Education/Training Program in Nashville, TN

Active since May 22, 2024PECOS Enrolled
1215 12TH AVE S, NASHVILLE, TN 37203(615) 936-5000 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicole Griggs Desisto Md NPPES

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

DR. NICOLE GRIGGS DESISTO MD (NPI 1083453716) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083453716
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. NICOLE GRIGGS DESISTOCredential: MD
Location Address1215 12TH AVE SNashville, TN 37203-4922
Mailing Address1215 21st Ave SNashville, TN 37232-0014
Phone(615) 936-5000
Sole ProprietorNo
Enumeration DateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1083453716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 12TH AVE S, Nashville, TN 37203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Griggs Desisto Md 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.

Other Providers at the Same Location NPPES

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

SHANNON RENEE FULTON CRNA
Nurse Anesthetist, Certified Registered
1215 12TH AVE S, SUITE 3108
NASHVILLE, TN 37203
Davidson County (615) 343-6336

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 Nicole Desisto's NPI number?

The NPI number for Nicole Desisto is 1083453716. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Where is Nicole Desisto located?

Nicole Desisto practices at 1215 12th Ave S, Nashville, TN 37203. The listed phone number is (615) 936-5000.

What is Nicole Desisto's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Desisto enrolled in Medicare?

Yes. Nicole Desisto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Desisto was last updated on May 22, 2024. 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.