MRS. DESIREE TAVAREZ PNP
NPI 1255089090
Nurse Practitioner - Pediatrics in Braintree, MA

Q: What is Desiree Tavarez's NPI number?

The NPI number for Desiree Tavarez is 1255089090. It was assigned to this individual provider in the NPPES registry on March 11, 2022.

Q: What is Desiree Tavarez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Desiree Tavarez was last updated on March 11, 2022. 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 March 11, 2022PECOS Enrolled

111 GROSSMAN DR, BRAINTREE, MA 02184(781) 849-2300 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Desiree Tavarez Pnp NPPES

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

MRS. DESIREE TAVAREZ PNP (NPI 1255089090) is an individual pediatrics provider in Braintree, Massachusetts, licensed in Massachusetts (RN2341137) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255089090

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. DESIREE TAVAREZCredential: PNP

Location Address111 GROSSMAN DRBraintree, MA 02184-4997

Mailing Address111 Grossman DrBraintree, MA 02184-4997

Phone(781) 849-2300

Sole ProprietorNo

Enumeration DateMarch 11, 2022

NPPES CertifiedMarch 10, 2022

✔ NPI 1255089090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MA · RN2341137

111 GROSSMAN DR, Braintree, MA 02184

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Desiree Tavarez Pnp 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 02184 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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. ELISE REBECCA BENDER MD

Family Medicine