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CLAUDELLE MASSENA DEROCHE
NPI 1265277693
Nurse Practitioner - Family in Albany, NY

Active since June 27, 2024PECOS Enrolled
43 NEW SCOTLAND AVE, ALBANY, NY 12208(518) 262-3125 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2024, Jun 27, 2024 (2 updates tracked since 2024).

About Claudelle Massena Deroche NPPES

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

CLAUDELLE MASSENA DEROCHE (NPI 1265277693) is an individual family provider in Albany, New York, licensed in New York (F354209-01) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265277693
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLAUDELLE MASSENA DEROCHE
Location Address43 NEW SCOTLAND AVEAlbany, NY 12208-3412
Mailing Address43 New Scotland AveAlbany, NY 12208-3412
Phone(518) 262-3125
Sole ProprietorYes
Enumeration DateJune 27, 2024
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1265277693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F354209-01
43 NEW SCOTLAND AVE, Albany, NY 12208
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Claudelle Massena Deroche 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 Claudelle Deroche reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Koinonia Primary Care Inc
0.9 mi
Clinic/Center
553 CLINTON AVE
Albany, NY 12206
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
NPI 1023389533 (518) 689-0282
Community Care Physicians, PLLC
7.3 mi
Internal Medicine
6 WELLNESS WAY STE 201
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • 474 clinicians in this Medicare group
NPI 1922048370 (518) 782-3700

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 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

MS. KELLY N MILES MS, RNC, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-9200
DR. NATHANIEL FRANCIS EKSTROM DO
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVE, DEPT. OF EMERGENCY MEDICINE, MAIL CODE: 139
ALBANY, NY 12208
Albany County (518) 262-6455
JESSICA MARIE CARPENTER
Nurse Anesthetist, Certified Registered
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 332-3956
MS. RACHAEL RENEE GREY CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-3125
JOSNEL CID
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-6488
DR. JOANNA MIDURA PALUCH DO
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-0144
RITIKA PATEL
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-3125
MISS CRISTINA LYNN SILVA MS CCC SLP
Speech-Language Pathologist
43 NEW SCOTLAND AVE, COMMUNICATION DISORDERS DEPARTMENT MC 128
ALBANY, NY 12208
Albany County (518) 262-4526

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 Claudelle Deroche's NPI number?

The NPI number for Claudelle Deroche is 1265277693. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Where is Claudelle Deroche located?

Claudelle Deroche practices at 43 New Scotland Ave, Albany, NY 12208. The listed phone number is (518) 262-3125.

What is Claudelle Deroche's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Claudelle Deroche enrolled in Medicare?

Yes. Claudelle Deroche is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Claudelle Deroche's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudelle Deroche reassigns Medicare benefits to 2 organizations: Koinonia Primary Care Inc (Albany, NY) and Community Care Physicians, PLLC (Latham, NY). 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 Claudelle Deroche'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 Claudelle Deroche was last updated on July 11, 2024. 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.