DESIREE BOLLERUP AGPCNP
NPI 1669250098
Nurse Practitioner - Adult Health in Greenlawn, NY
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Desiree Bollerup Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Desiree Bollerup reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenlawn, NY 11740
- Reassigned Medicare billing, New York enrollment
- 67 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 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.
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.
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 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.
Where is Desiree Bollerup located?
Desiree Bollerup practices at 284 Pulaski Rd, Greenlawn, NY 11740. The listed phone number is (631) 425-5250.
What is Desiree Bollerup's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Desiree Bollerup enrolled in Medicare?
Yes. Desiree Bollerup is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Desiree Bollerup's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Bollerup reassigns Medicare benefits to Huntington Hospital Dolan Family Health Center (Greenlawn, 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 Desiree Bollerup'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 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 3 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.
# Desiree Bollerup, AGPCNP · NPI 1669250098
Adult Health physician in Greenlawn, New York. Individual provider, active in the CMS NPPES registry since September 18, 2023.
## Identity
- **NPI:** 1669250098 (Entity type: Individual)
- **Enumerated:** September 18, 2023
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F311371-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 284 PULASKI RD, Greenlawn, NY 11740-1602
- **Phone:** (631) 425-5250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Huntington Hospital Dolan Family Health Center (NPI 1578593588, Greenlawn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669250098) · Data from the CMS NPPES public registry.