JOHANNA DERISCA
NPI 1205639895
Nurse Practitioner - Acute Care in New York, NY
About Johanna Derisca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHANNA DERISCA (NPI 1205639895) is an individual acute care provider in New York, New York, licensed in New York (432908) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Harlem Hospital Center, and is a graduate of Other (2023).
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)
Johanna Derisca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harlem Hospital Center
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10037 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10037
NEW YORK, NY 10037
NEW YORK, NY 10037
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 Johanna Derisca's NPI number?
The NPI number for Johanna Derisca is 1205639895. It was assigned to this individual provider in the NPPES registry on March 29, 2025.
Where is Johanna Derisca located?
Johanna Derisca practices at 506 Lenox Ave, New York, NY 10037. The listed phone number is (844) 692-4692.
What is Johanna Derisca's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Johanna Derisca enrolled in Medicare?
Yes. Johanna Derisca is registered in the Medicare PECOS enrollment system.
Is Johanna Derisca affiliated with any hospitals?
According to CMS data, Johanna Derisca is affiliated with Harlem Hospital Center.
When was this NPI record last updated?
The NPPES record for Johanna Derisca was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Johanna Derisca · NPI 1205639895
Acute Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 29, 2025.
## Identity
- **NPI:** 1205639895 (Entity type: Individual)
- **Enumerated:** March 29, 2025
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 432908 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 506 LENOX AVE, New York, NY 10037-1802
- **Phone:** (844) 692-4692
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205639895) · Data from the CMS NPPES public registry.