1. Home
  2. Directory
  3. Massachusetts
  4. Braintree
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 18, 2026.

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Desiree Tavarez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brigham & Womens Hospital, Inc.
10 mi
General Acute Care Hospital
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 220 clinicians in this Medicare group
NPI 1790717650 (617) 732-5500
Brigham & Womens Physicians Organization Inc
10 mi
Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
NPI 1033535497 (617) 732-5500

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 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
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-1000
THOMAS J CUNNINGHAM PA
Physician Assistant
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-1000
ALONA ROTKOVITCH NP
Nurse Practitioner (Adult Health)
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-1000
DR. SCOTT M SOUTHER MD
Internal Medicine
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-2400
DAVID JOHN HAMEL DISPENSING OPTICIAN
Technician/Technologist (Optician)
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-2293
JEAN M. CHARETTE LMHC
Counselor (Mental Health)
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-2275
GAIL S. CHARPENTIER LMHC
Counselor (Mental Health)
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-2275
DR. STEPHEN D MORRIS OD
Optometrist
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-2295

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 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.

Where is Desiree Tavarez located?

Desiree Tavarez practices at 111 Grossman Dr, Braintree, MA 02184. The listed phone number is (781) 849-2300.

What is Desiree Tavarez's specialty?

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

Is Desiree Tavarez enrolled in Medicare?

Yes. Desiree Tavarez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Desiree Tavarez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Tavarez reassigns Medicare benefits to 2 organizations: Brigham & Womens Hospital, Inc. (Boston, MA) and Brigham & Womens Physicians Organization Inc (Boston, MA). 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 Desiree Tavarez'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 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.