MRS. DESMONIQUE CHANTI HOMS
NPI 1508419102
Nurse Practitioner - Psychiatric/Mental Health in Amsterdam, NY

Active since July 23, 2019PECOS Enrolled
4988 STATE HIGHWAY 30, AMSTERDAM, NY 12010(518) 421-0286 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Desmonique Chanti Homs NPPES

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

MRS. DESMONIQUE CHANTI HOMS (NPI 1508419102) is an individual psychiatric/mental health provider in Amsterdam, New York, licensed in New York (402756) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508419102
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. DESMONIQUE CHANTI HOMS
Location Address4988 STATE HIGHWAY 30Amsterdam, NY 12010-7520
Mailing Address4988 State Highway 30Amsterdam, NY 12010-7520 · (518) 421-0286
Sole ProprietorNo
Enumeration DateJuly 23, 2019
✔ NPI 1508419102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402756
4988 STATE HIGHWAY 30, Amsterdam, NY 12010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Desmonique Chanti Homs 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.

Medicare Billing Reassignment

Medicare enrollment records show Desmonique Homs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
427 GUY PARK AVE, ST MARYS HEALTHCARE PRIMARY CARE DEPT
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St. Mary's Healthcare
  • 144 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 12010 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Physician Assistant
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Psychiatry & Neurology (Neurology)
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL SUITE 201
AMSTERDAM, NY 12010
Rehabilitation Unit
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Psychiatry & Neurology (Neurology)
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL SUITE 201
AMSTERDAM, NY 12010
Nurse Practitioner (Family)
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL HEALTH CENTER
AMSTERDAM, NY 12010
Nurse Practitioner (Family)
4988 STATE HIGHWAY 30, AMSTERDM FAMILY HEALTH CENTER
AMSTERDAM, NY 12010
Medicare Defined Swing Bed Unit
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Radiology (Diagnostic Radiology)
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010

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 Desmonique Homs's NPI number?

The NPI number for Desmonique Homs is 1508419102. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Desmonique Homs located?

Desmonique Homs practices at 4988 State Highway 30, Amsterdam, NY 12010. The listed phone number is (518) 421-0286.

What is Desmonique Homs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Desmonique Homs enrolled in Medicare?

Yes. Desmonique Homs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Desmonique Homs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desmonique Homs reassigns Medicare benefits to St Marys Healthcare (Amsterdam, NY). The 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 Desmonique Homs'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 Desmonique Homs was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.