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DESHA REID REGISTERED NURSE
NPI 1659134054
Nurse Practitioner - Psychiatric/Mental Health in Teaneck, NJ

Active since January 30, 2024PECOS Enrolled
83 SHEPARD AVE, TEANECK, NJ 07666(347) 650-1591 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Desha Reid Registered Nurse NPPES

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

DESHA REID REGISTERED NURSE (NPI 1659134054) is an individual psychiatric/mental health provider in Teaneck, New Jersey, licensed in New York (F409093-01) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1659134054
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDESHA REIDCredential: REGISTERED NURSE
Location Address83 SHEPARD AVETeaneck, NJ 07666-6119
Mailing Address83 Shepard AveTeaneck, NJ 07666-6119
Phone(347) 650-1591
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 30, 2024
Last NPPES UpdateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
✔ NPI 1659134054 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 NY · F409093-01
Also ListedRegistered Nurse · SchoolTaxonomy 163WS0200X · License 704198 (NY)
83 SHEPARD AVE, Teaneck, NJ 07666
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desha Reid Registered Nurse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567922875
PECOS Enrollment IDI20260907000347
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 Desha Reid reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medagent Corp
27 mi
Clinic/Center
7 CROTON AVE
Cortlandt Manor, NY 10567
  • Reassigned Medicare billing, New York enrollment
  • 42 clinicians in this Medicare group
NPI 1245301928 (914) 962-5800

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 07666 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 Desha Reid's NPI number?

The NPI number for Desha Reid is 1659134054. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Desha Reid located?

Desha Reid practices at 83 Shepard Ave, Teaneck, NJ 07666. The listed phone number is (347) 650-1591.

What is Desha Reid's specialty?

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

Is Desha Reid enrolled in Medicare?

Yes. Desha Reid is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Desha Reid's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desha Reid reassigns Medicare benefits to Medagent Corp (Cortlandt Manor, 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 Desha Reid'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 Desha Reid was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.