AMANDA DESENNA CRNP
NPI 1639752595
Nurse Practitioner - Family in South Kingstown, RI

Q: What is Amanda Desenna's NPI number?

The NPI number for Amanda Desenna is 1639752595. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Q: What is Amanda Desenna's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Desenna was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 29, 2021PECOS EnrolledAccepts Medicare Assignment

100 KENYON AVE, SOUTH KINGSTOWN, RI 02879(401) 782-8000 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amanda Desenna Crnp NPPES

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

AMANDA DESENNA CRNP (NPI 1639752595) is an individual family provider in South Kingstown, Rhode Island, licensed in Rhode Island (APRN02643) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639752595

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA DESENNACredential: CRNP

Location Address100 KENYON AVESouth Kingstown, RI 02879-4216

Mailing Address1945 S Woodstock StPhiladelphia, PA 19145-2829 · (401) 527-2170

Phone(401) 782-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 29, 2021

NPPES CertifiedApril 29, 2021

✔ NPI 1639752595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in RI · APRN02643

100 KENYON AVE, South Kingstown, RI 02879

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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

Amanda Desenna Crnp 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 ID2062821861

PECOS Enrollment IDI20250929003030

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 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

199 services143 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

42 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390027

Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02879 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

JILL VOLK D.O.

Emergency Medicine