ELIZABETH WARREN DESANDRE NP
NPI 1821678368
Nurse Practitioner in Bolivia, NC

Q: What is Elizabeth Desandre's NPI number?

The NPI number for Elizabeth Desandre is 1821678368. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Q: What is Elizabeth Desandre's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment

584 HOSPITAL DR NE UNIT D, BOLIVIA, NC 28422(910) 721-4150(910) 721-4159 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2021, May 17, 2021, Apr 11, 2021 (3 updates tracked since 2021).

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About Elizabeth Warren Desandre Np NPPES

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

ELIZABETH WARREN DESANDRE NP (NPI 1821678368) is an individual nurse practitioner in Bolivia, North Carolina, licensed in North Carolina (5014307) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and maintains a secondary practice location in Bolivia.

NPPES Registry Identity

NPI1821678368

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameELIZABETH WARREN DESANDRECredential: NP

Location Address584 HOSPITAL DR NE UNIT DBolivia, NC 28422-0020

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(910) 721-4150

Fax(910) 721-4159

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 9, 2021

Last NPPES UpdateJuly 14, 20213 updates tracked since enumeration

NPPES CertifiedJuly 14, 2021

✔ NPI 1821678368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5014307

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 272250 (NC)

584 HOSPITAL DR NE UNIT D, Bolivia, NC 28422

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Secondary Practice Location 1

Location 1240 Hospital Dr NEBolivia, NC 28422-8346 · Phone (910) 269-9225

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Warren Desandre Np 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 ID6800297094

PECOS Enrollment IDI20210625000043

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 Elizabeth Desandre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group LLC

Same address

Obstetrics & Gynecology

584 HOSPITAL DR NE UNIT B
Bolivia, NC 28422

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1205884970 (910) 721-4050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

1,192 services735 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

868 services684 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

227 services227 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

119 services119 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

92 services87 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.

21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340141

Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County

Emergency services Birthing friendly

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340158

Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County

Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420105

Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28422 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVANT HEALTH MEDICAL GROUP NC COASTAL REGION SPECIALTY, LLC

Plastic Surgery

584 HOSPITAL DR NE UNIT D
BOLIVIA, NC 28422

Brunswick County (910) 754-8808

LYDIA LABOCCETTA

Urology

584 HOSPITAL DR NE UNIT D
BOLIVIA, NC 28422

Brunswick County (910) 721-4150

STEVEN ERIC ROBBINS MD

Urology

584 HOSPITAL DR NE UNIT D
BOLIVIA, NC 28422

Brunswick County (910) 721-4150

NOVANT HEALTH MEDICAL GROUP, LLC

Urology

584 HOSPITAL DR NE UNIT D
BOLIVIA, NC 28422

Brunswick County (704) 384-4000

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 Elizabeth Desandre's NPI number?

The NPI number for Elizabeth Desandre is 1821678368. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Elizabeth Desandre located?

Elizabeth Desandre practices at 584 Hospital Dr NE Unit D, Bolivia, NC 28422. The listed phone number is (910) 721-4150.

What is Elizabeth Desandre's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elizabeth Desandre enrolled in Medicare?

Yes. Elizabeth Desandre 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.

Which organization bills Medicare for Elizabeth Desandre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Desandre reassigns Medicare benefits to Novant Health Medical Group LLC (Bolivia, NC). 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 Elizabeth Desandre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Elizabeth Desandre affiliated with any hospitals?

According to CMS data, Elizabeth Desandre is affiliated with Novant Health New Hanover Regional Medical Center, Novant Health Brunswick Medical Center and Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Desandre was last updated on July 14, 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.