LISE A DESJARDINS FNP-C
NPI 1164643128
Nurse Practitioner - Family in Rockport, ME
About Lise A Desjardins Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISE A DESJARDINS FNP-C (NPI 1164643128) is an individual family provider in Rockport, Maine, licensed in Maine (R026287) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lise A Desjardins Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04856 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKPORT, ME 04856
ROCKPORT, ME 04856
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 Lise Desjardins's NPI number?
The NPI number for Lise Desjardins is 1164643128. It was assigned to this individual provider in the NPPES registry on May 1, 2007.
Where is Lise Desjardins located?
Lise Desjardins practices at 756 Commercial St, Rockport, ME 04856. The listed phone number is (207) 593-5566.
What is Lise Desjardins's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lise Desjardins enrolled in Medicare?
Yes. Lise Desjardins is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lise Desjardins was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Lise A Desjardins, FNP-C · NPI 1164643128
Family physician in Rockport, Maine. Individual provider, active in the CMS NPPES registry since May 1, 2007.
## Identity
- **NPI:** 1164643128 (Entity type: Individual)
- **Enumerated:** May 1, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R026287 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 756 COMMERCIAL ST, Rockport, ME 04856-4201
- **Phone:** (207) 593-5566
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1164643128) · Data from the CMS NPPES public registry.