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

Q: 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.

Q: What is Desirae Exendine's specialty?

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

Q: 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 2 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.

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: August 16, 2026.

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

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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.

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

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Medicare Participation & PECOS CMS

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

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.

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)