SHANIKA DESMOULIN RN, PMHNP-BC
NPI 1285025965
Nurse Practitioner - Psychiatric/Mental Health in Bridgeport, CT

Q: 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.

Q: 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.

Q: 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 2 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.

Active since February 17, 2015PECOS Enrolled

31 BROOKLAWN PL, BRIDGEPORT, CT 06604(917) 651-9240 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2026, May 15, 2019 (2 updates tracked since 2019).

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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.

NPPES Registry Identity

NPI1285025965

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHANIKA DESMOULINCredential: RN, PMHNP-BC

Location Address31 BROOKLAWN PLBridgeport, CT 06604-2117

Mailing Address31 Brooklawn PlBridgeport, CT 06604-2117 · (917) 651-9240

Phone(917) 651-9240

Sole ProprietorYes

Enumeration DateFebruary 17, 2015

Last NPPES UpdateMay 20, 20262 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1285025965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 3819392

Also ListedRegistered NurseTaxonomy 163W00000X · License 738515 (NY)

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 320771 (NY)

31 BROOKLAWN PL, Bridgeport, CT 06604

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanika Desmoulin Rn, Pmhnp-bc 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 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.

New Patient

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

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 enrollment system.

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 2 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.