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DESIRAE RACHELLE EXENDINE DNP, APRN, NNP-BC
NPI 1215541131
Nurse Practitioner - Neonatal in San Diego, CA

Active since September 08, 2020PECOS Enrolled
3010 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-5818 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 1, 2020, Sep 8, 2020 (2 updates tracked since 2020).

About Desirae Rachelle Exendine Dnp, Aprn, Nnp-bc NPPES

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

DESIRAE RACHELLE EXENDINE DNP, APRN, NNP-BC (NPI 1215541131) is an individual neonatal provider in San Diego, California, licensed in California (NP95015583) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Escondido.

NPPES Registry Identity

NPI1215541131
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameDESIRAE RACHELLE EXENDINECredential: DNP, APRN, NNP-BC
Location Address3010 CHILDRENS WAYSan Diego, CA 92123-4223
Mailing Address3020 Childrens Way # Mc5008San Diego, CA 92123-4223 · (858) 966-5818
Phone(858) 966-5818
Sole ProprietorNo
Enumeration DateSeptember 8, 2020
Last NPPES UpdateSeptember 11, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
✔ NPI 1215541131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in CA · NP95015583
3010 CHILDRENS WAY, San Diego, CA 92123
Open in Google Maps ↗

Secondary Practice Location 1

Location 12185 Citracado PkwyEscondido, CA 92029-4159 · Phone (442) 282-3193

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desirae Rachelle Exendine Dnp, Aprn, Nnp-bc 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Desirae Exendine reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ucsf Dept Of Surgery
455 mi
Surgery
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 761 clinicians in this Medicare group
NPI 1477627537 (415) 353-2161
Ucsf Pediatrics Associates
455 mi
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
NPI 1376614016 (415) 353-2000
University Of California San Francisco
455 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
455 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808
Regents Of The Univ Of Ca
464 mi
Clinical Child & Adolescent
2825 50TH ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1447423959 (916) 703-0315

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 20

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

DR. KATHERINE N. NYMAN MD
Pediatrics (Neonatal-Perinatal Medicine)
3010 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5818
JESSICA JEANNE MCELHOSE NNP
Nurse Practitioner (Neonatal, Critical Care)
3010 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5818
DR. APRIL H. BUTLER MD
Pediatrics
3010 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 576-1700
KYUNG E RHEE M.D.
Pediatrics
3010 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 496-4800
AMANDA WALDHEIM CARLSON NNP
Nurse Practitioner (Neonatal)
3010 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5818
DR. HENRY CHONG LEE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
3010 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5818
KELLY ANN BUSH M.D.
Pediatrics (Pediatric Hematology-Oncology)
3010 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5811
MRS. NATASHA AMY TANNER NNP
Nurse Practitioner (Neonatal, Critical Care)
3010 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5818

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 Desirae Exendine's NPI number?

The NPI number for Desirae Exendine is 1215541131. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Desirae Exendine located?

Desirae Exendine practices at 3010 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-5818.

What is Desirae Exendine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Desirae Exendine enrolled in Medicare?

Yes. Desirae Exendine is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Desirae Exendine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desirae Exendine reassigns Medicare benefits to 5 organizations: Ucsf Dept Of Surgery (San Francisco, CA), Ucsf Pediatrics Associates (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA) and Regents Of The Univ Of Ca (Sacramento, CA). Each 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 Desirae Exendine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Desirae Exendine was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.