DR. ANDREE DE LISSER
NPI 1487107421
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Danbury, CT

NPI Status: Active since July 26, 2016

Contact Information

24 HOSPITAL AVE
DANBURY HOSPITAL PSYCHIATRY
DANBURY, CT
ZIP 06810
Phone: (914) 907-3127

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  • Individual
  • Female
  • Clinical Nurse Specialist
  • Psychiatric/Mental Health, Adult
  • Opted-Out Medicare

About ANDREE DE LISSER

This page provides the complete NPI Profile along with additional information for Andree De Lisser, a provider established in Danbury, Connecticut with a medical specialization in Clinical Nurse Specialist, focusing in psychiatric/mental health, adult . The healthcare provider is registered in the NPI registry with number 1487107421 assigned on July 2016. The practitioner's primary taxonomy code is 364SP0809X with license number 004626 (CT). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1487107421
Provider Name
DR. ANDREE DE LISSER
Gender
Female
Entity Type
Individual
Location Address
24 HOSPITAL AVE DANBURY HOSPITAL PSYCHIATRY DANBURY, CT 06810
Location Phone
(914) 907-3127
Mailing Address
29 DOGWOOD CT GOLDENS BRIDGE, NY 10526
Is Sole Proprietor?
Yes
Enumeration Date
07-26-2016
Last Update Date
06-18-2018
Code Navigator

A Clinical Nurse Specialist (CNS) like Andree De Lisser is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Andree De Lisser opted out of Medicare effective on 04-30-2024 until 04-30-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Nurse Specialist Psychiatric/Mental Health, Adult

Taxonomy Code
364SP0809X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
004626
License State
CT

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1364S00000XPhysician Assistants & Advanced Practice Nursing Providers

Clinical Nurse Specialist

4626 (CT)

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-30-2024

  • Opt-Out End Date: 04-30-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487107421, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 2 + 0 + 1 + 4 + 4 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1487107421.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
24 HOSPITAL AVE
DANBURY, CT 06810
Radiology (Diagnostic Radiology)
24 HOSPITAL AVE
DANBURY, CT 06810
Radiology (Diagnostic Radiology)
24 HOSPITAL AVE
DANBURY, CT 06810
Emergency Medicine
24 HOSPITAL AVE
DANBURY, CT 06810
Radiology (Diagnostic Radiology)
24 HOSPITAL AVE
DANBURY, CT 06810
Radiology (Diagnostic Radiology)
24 HOSPITAL AVE
DANBURY, CT 06810
Radiology (Diagnostic Radiology)
24 HOSPITAL AVE
DANBURY, CT 06810
Internal Medicine (Pulmonary Disease)
24 HOSPITAL AVE
DANBURY, CT 06810
Nurse Anesthetist, Certified Registered
24 HOSPITAL AVE
DANBURY, CT 06810
Physician Assistant
24 HOSPITAL AVE
DANBURY, CT 06810
Radiology (Radiation Oncology)
24 HOSPITAL AVE
DANBURY, CT 06810
Pathology (Anatomic Pathology & Clinical Pathology)
24 HOSPITAL AVE
DANBURY, CT 06810
Internal Medicine
24 HOSPITAL AVE
DANBURY, CT 06810
Anesthesiology
24 HOSPITAL AVE, ANESTHESIOLOGY DEPARTMENT
DANBURY, CT 06810
Physician Assistant (Medical)
24 HOSPITAL AVE
DANBURY, CT 06810
Nurse Anesthetist, Certified Registered
24 HOSPITAL AVE
DANBURY, CT 06810
Physician Assistant (Surgical)
24 HOSPITAL AVE
DANBURY, CT 06810
Physician Assistant (Medical)
24 HOSPITAL AVE
DANBURY, CT 06810
Pathology (Anatomic Pathology & Clinical Pathology)
24 HOSPITAL AVE, DEPARTMENT OF PATHOLOGY
DANBURY, CT 06810
Internal Medicine (Hematology & Oncology)
24 HOSPITAL AVE
DANBURY, CT 06810

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487107421, enumerated as an "individual" on July 26, 2016.

The provider is located at 24 HOSPITAL AVE DANBURY HOSPITAL PSYCHIATRY DANBURY, CT 06810 and the phone number is (914) 907-3127.

Clinical Nurse Specialist with taxonomy code 364SP0809X and a focus in Psychiatric/Mental Health, Adult.