SHANIKA DESMOULIN RN, PMHNP-BC
NPI 1285025965
Nurse Practitioner - Psychiatric/Mental Health in Bridgeport, CT
About Shanika Desmoulin Rn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANIKA DESMOULIN RN, PMHNP-BC (NPI 1285025965) is an individual psychiatric/mental health provider in Bridgeport, Connecticut, licensed in New York (3819392) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shanika Desmoulin Rn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Shanika Desmoulin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CT 06477
- Reassigned Medicare billing, Connecticut enrollment
- 46 clinicians in this Medicare group
Syosset, NY 11791
- Reassigned Medicare billing, New York enrollment
- 16 clinicians in this Medicare group
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 06604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shanika Desmoulin's NPI number?
The NPI number for Shanika Desmoulin is 1285025965. It was assigned to this individual provider in the NPPES registry on February 17, 2015.
Where is Shanika Desmoulin located?
Shanika Desmoulin practices at 31 Brooklawn Pl, Bridgeport, CT 06604. The listed phone number is (917) 651-9240.
What is Shanika Desmoulin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shanika Desmoulin enrolled in Medicare?
Yes. Shanika Desmoulin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shanika Desmoulin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shanika Desmoulin reassigns Medicare benefits to 2 organizations: Impact Health Psych PC (Orange, CT) and Garumuni Anura Desilva, MD PC (Syosset, 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 Shanika Desmoulin'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 Shanika Desmoulin was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Shanika Desmoulin, RN, PMHNP-BC · NPI 1285025965
Psychiatric/Mental Health physician in Bridgeport, Connecticut. Individual provider, active in the CMS NPPES registry since February 17, 2015.
## Identity
- **NPI:** 1285025965 (Entity type: Individual)
- **Enumerated:** February 17, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 3819392 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 31 BROOKLAWN PL, Bridgeport, CT 06604-2117
- **Phone:** (917) 651-9240
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Impact Health Psych PC (NPI 1730781022, Orange, CT); Garumuni Anura Desilva, MD PC (NPI 1427793629, Syosset, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285025965) · Data from the CMS NPPES public registry.