ANIE SOPHIA DEROLUS MSN, FNP-BC
NPI 1306554068
Nurse Practitioner - Family in Hyde Park, MA

Active since November 11, 2022PECOS Enrolled
152 WOOD AVE, HYDE PARK, MA 02136(617) 953-6617 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 20, 2023, Nov 11, 2022 (2 updates tracked since 2022).

About Anie Sophia Derolus Msn, Fnp-bc NPPES

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

ANIE SOPHIA DEROLUS MSN, FNP-BC (NPI 1306554068) is an individual family provider in Hyde Park, Massachusetts, licensed in Massachusetts (RN2348277) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306554068
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANIE SOPHIA DEROLUSCredential: MSN, FNP-BC
Location Address152 WOOD AVEHyde Park, MA 02136-3857
Mailing Address152 Wood AveHyde Park, MA 02136-3857 · (617) 953-6617
Sole ProprietorYes
Enumeration DateNovember 11, 2022
Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
NPI 1306554068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · RN2348277
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN2348277 (MA)
152 WOOD AVE, Hyde Park, MA 02136

Accepted 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)

Anie Sophia Derolus Msn, Fnp-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 02136 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.

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 Anie Derolus's NPI number?

The NPI number for Anie Derolus is 1306554068. It was assigned to this individual provider in the NPPES registry on November 11, 2022.

Where is Anie Derolus located?

Anie Derolus practices at 152 Wood Ave, Hyde Park, MA 02136. The listed phone number is (617) 953-6617.

What is Anie Derolus's specialty?

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

Is Anie Derolus enrolled in Medicare?

Yes. Anie Derolus is registered in the Medicare PECOS enrollment system.

What insurance does Anie Derolus accept?

Health plans from Harvard Pilgrim Health Care list Anie Derolus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anie Derolus was last updated on November 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.