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DESTA ROWENA ANTHONY ANP
NPI 1093721102
Nurse Practitioner - Adult Health in Manlius, NY

Active since July 31, 2006PECOS Enrolled
8241 PENSTOCK WAY, MANLIUS, NY 13104(315) 559-1965(833) 606-0692 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 28, 2025, Sep 15, 2025 (2 updates tracked since 2025).

About Desta Rowena Anthony Anp NPPES

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

DESTA ROWENA ANTHONY ANP (NPI 1093721102) is an individual adult health provider in Manlius, New York, licensed in New York (F303332) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1093721102
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDESTA ROWENA ANTHONYCredential: ANP
Location Address8241 PENSTOCK WAYManlius, NY 13104-9401
Mailing Address8241 Penstock WayManlius, NY 13104-9401 · (315) 559-1965 · Fax (833) 606-0692
Phone(315) 559-1965
Fax(833) 606-0692
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 31, 2006
Last NPPES UpdateNovember 28, 20252 updates tracked since enumeration
NPPES CertifiedNovember 28, 2025
✔ NPI 1093721102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F303332
8241 PENSTOCK WAY, Manlius, NY 13104
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Other Identifiers 1

Medicaid02207207NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desta Rowena Anthony Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002906161
PECOS Enrollment IDI20071213000490
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
95 services44 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
62 services32 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
29 services23 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
26 services14 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
22 services22 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13104 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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

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

DESTA ANTHONY MOBILE NP ADULT HEALTH, PLLC
Nurse Practitioner (Adult Health)
8241 PENSTOCK WAY
MANLIUS, NY 13104
Onondaga County (315) 413-3848

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 Desta Anthony's NPI number?

The NPI number for Desta Anthony is 1093721102. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Desta Anthony located?

Desta Anthony practices at 8241 Penstock Way, Manlius, NY 13104. The listed phone number is (315) 559-1965.

What is Desta Anthony's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Desta Anthony enrolled in Medicare?

Yes. Desta Anthony is registered in the Medicare PECOS enrollment system.

Is Desta Anthony affiliated with any hospitals?

According to CMS data, Desta Anthony is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Desta Anthony was last updated on November 28, 2025. 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.