DESIREE INEZ DENNIS NP
NPI 1215690425
Nurse Practitioner - Adult Health in Deer Park, NY

Q: What is Desiree Dennis's NPI number?

The NPI number for Desiree Dennis is 1215690425. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Q: What is Desiree Dennis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Desiree Dennis was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 15, 2021PECOS Enrolled

1630 DEER PARK AVE, DEER PARK, NY 11729(631) 242-6166 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Desiree Inez Dennis Np NPPES

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

DESIREE INEZ DENNIS NP (NPI 1215690425) is an individual adult health provider in Deer Park, New York, licensed in New York (310456) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215690425

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameDESIREE INEZ DENNISCredential: NP

Location Address1630 DEER PARK AVEDeer Park, NY 11729-5210

Mailing Address18 Campbell LnEast Islip, NY 11730-3619 · (631) 332-1424

Phone(631) 242-6166

Sole ProprietorNo

Enumeration DateOctober 15, 2021

NPPES CertifiedOctober 15, 2021

✔ NPI 1215690425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 310456

1630 DEER PARK AVE, Deer Park, NY 11729

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desiree Inez Dennis Np 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 11729 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 10

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

ADAM JAMES KUPERSMITH M.D.

Internal Medicine (Cardiovascular Disease)