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LILLIAN DEROSA PMHNP-BC, BSN, RN
NPI 1609384221
Nurse Practitioner - Psychiatric/Mental Health in Canton, MA

Active since January 17, 2018PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2025, May 20, 2023, Jan 17, 2018 (3 updates tracked since 2018).

About Lillian Derosa Pmhnp-bc, Bsn, Rn NPPES

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

LILLIAN DEROSA PMHNP-BC, BSN, RN (NPI 1609384221) is an individual psychiatric/mental health provider in Canton, Massachusetts, licensed in Massachusetts (RN2302862) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609384221
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLILLIAN DEROSACredential: PMHNP-BC, BSN, RN
Location Address238 HIGH STCanton, MA 02021-3654
Mailing Address25 Owencroft RdDorchester, MA 02124-4723
Phone(617) 755-6020
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 17, 2018
Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1609384221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2302862
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN2302862 (MA)
238 HIGH ST, Canton, MA 02021
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1736 Cambridge StBrighton, MA 02135-2907 · Phone (617) 789-2102 · Fax (617) 789-3477
Location 2235 N Pearl StBrockton, MA 02301-1794 · Phone (508) 427-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

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

Lillian Derosa Pmhnp-bc, Bsn, Rn 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 ID4587007521
PECOS Enrollment IDI20240207001386
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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02021 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 Lillian Derosa's NPI number?

The NPI number for Lillian Derosa is 1609384221. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Lillian Derosa located?

Lillian Derosa practices at 238 High St, Canton, MA 02021. The listed phone number is (617) 755-6020.

What is Lillian Derosa's specialty?

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

Is Lillian Derosa enrolled in Medicare?

Yes. Lillian Derosa 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.

What insurance does Lillian Derosa accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Lillian Derosa 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 Lillian Derosa was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.