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, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Johanna Derisca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Johanna Derisca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10035
- Reassigned Medicare billing, New York enrollment
- 1,615 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Johanna Derisca's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johanna Derisca reassigns Medicare benefits to New York City Health And Hospitals Corporation (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johanna Derisca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 19 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
- **Bills Medicare through:** New York City Health And Hospitals Corporation (NPI 1538943469, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **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.