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MARY DESALLE GNP
NPI 1427034396
Nurse Practitioner - Gerontology in Saco, ME

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
655 MAIN ST, SACO, ME 04072(207) 602-3571(207) 602-3573 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Desalle Gnp NPPES

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

MARY DESALLE GNP (NPI 1427034396) is an individual gerontology provider in Saco, Maine, licensed in Maine (AP081312) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1427034396
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY DESALLECredential: GNP
Location Address655 MAIN STSaco, ME 04072-1543
Mailing AddressPo Box 284Brattleboro, VT 05302-0284 · (207) 784-2554 · Fax (207) 777-5363
Phone(207) 602-3571
Fax(207) 602-3573
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 21, 2005
Last NPPES UpdateFebruary 5, 2013
✔ NPI 1427034396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in ME · AP081312✔ Licensed in ME · R026628
655 MAIN ST, Saco, ME 04072
Open in Google Maps ↗

Other Identifiers 10

Other100072ME · Bcbs
OtherMN5036ME · Hphc
Other304310001ME · Cigna
Medicaid1427034396ME
Other2735452ME · Aetna
Other500017332ME · Rr Medicare
Medicare UPINS29951ME
Medicare ID-Type UnspecifiedNP0685ME
Medicare PINNP0685
Medicare UPINS29951

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Desalle Gnp 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.

PECOS PAC ID6002862539
PECOS Enrollment IDI20050328000540
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
23 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04072 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

COURTNEY MATTHEWS FNP-BC
Nurse Practitioner (Family)
655 MAIN ST
SACO, ME 04072
York County (207) 294-5600
MRS. MARY M HANNAFORD NP
Nurse Practitioner (Adult Health)
655 MAIN ST
SACO, ME 04072
York County (207) 294-3100
ALISON H KOPELMAN M.D.
Pediatrics
655 MAIN ST
SACO, ME 04072
York County (207) 294-5959
JANE E CARREIRO D.O.
Neuromusculoskeletal Medicine & OMM
655 MAIN ST
SACO, ME 04072
York County (207) 283-1407
BRYAN SCOTT HAUSER MD
General Practice
655 MAIN ST, VA CLINIC
SACO, ME 04072
York County (207) 294-3100
DR. YONGJIAN LU MD
Internal Medicine
655 MAIN ST
SACO, ME 04072
York County (207) 623-8411
MAINEHEALTH
Clinic/Center (Urgent Care)
655 MAIN ST
SACO, ME 04072
York County (207) 294-5600
DR. GARRETT B EDWARDS DO
Neuromusculoskeletal Medicine & OMM
655 MAIN ST
SACO, ME 04072
York County (207) 283-1407

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 Mary Desalle's NPI number?

The NPI number for Mary Desalle is 1427034396. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Mary Desalle located?

Mary Desalle practices at 655 Main St, Saco, ME 04072. The listed phone number is (207) 602-3571.

What is Mary Desalle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mary Desalle enrolled in Medicare?

Yes. Mary Desalle 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.

When was this NPI record last updated?

The NPPES record for Mary Desalle was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.