DESIREE BOLLERUP AGPCNP
NPI 1669250098
Nurse Practitioner - Adult Health in Greenlawn, NY

Q: What is Desiree Bollerup's NPI number?

The NPI number for Desiree Bollerup is 1669250098. It was assigned to this individual provider in the NPPES registry on September 18, 2023. The provider is also known as Desiree Bollerup Agpcnp.

Q: What is Desiree Bollerup's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Desiree Bollerup was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 18, 2023PECOS Enrolled

284 PULASKI RD, GREENLAWN, NY 11740(631) 425-5250 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Desiree Bollerup Agpcnp NPPES

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

DESIREE BOLLERUP AGPCNP (NPI 1669250098) is an individual adult health provider in Greenlawn, New York, licensed in New York (F311371-01) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669250098

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameDESIREE BOLLERUPCredential: AGPCNP

Location Address284 PULASKI RDGreenlawn, NY 11740-1602

Mailing Address284 Pulaski RdGreenlawn, NY 11740-1602

Phone(631) 425-5250

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 18, 2023

NPPES CertifiedSeptember 18, 2023

✔ NPI 1669250098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F311371-01

284 PULASKI RD, Greenlawn, NY 11740

Open in Google Maps ↗

Other Names 1

Professional Name (2)Desiree Bollerup Agpcnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desiree Bollerup Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496193914

PECOS Enrollment IDI20240403001914

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11740 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

KATHERINE MURPHY DO

Family Medicine