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THEODORA DESRONVIL FNP-BC
NPI 1902394067
Nurse Practitioner - Family in Rocky Mount, NC

Active since April 24, 2018PECOS EnrolledAccepts Medicare Assignment
300 N GRACE ST, ROCKY MOUNT, NC 27804(252) 210-9856(252) 822-5065 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2020, Feb 11, 2020, Apr 24, 2018 (3 updates tracked since 2018).

About Theodora Desronvil Fnp-bc NPPES

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

THEODORA DESRONVIL FNP-BC (NPI 1902394067) is an individual family provider in Rocky Mount, North Carolina, licensed in North Carolina (5010560) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902394067
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHEODORA DESRONVILCredential: FNP-BC
Location Address300 N GRACE STRocky Mount, NC 27804-5345
Mailing AddressPo Box 2723Rocky Mount, NC 27802-2723 · (252) 212-3486 · Fax (252) 212-3497
Phone(252) 210-9856
Fax(252) 822-5065
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 24, 2018
Last NPPES UpdateJune 10, 20203 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
✔ NPI 1902394067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5010560
Also ListedRegistered NurseTaxonomy 163W00000X · License 303827 (NC)
300 N GRACE ST, Rocky Mount, NC 27804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

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

Theodora Desronvil Fnp-bc 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 ID1951739085
PECOS Enrollment IDI20200323003571
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 Reassignments

2

Medicare enrollment records show Theodora Desronvil reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Opportunities Industrialization Center, Inc
1.8 mi
Federally Qualified Health Center (FQHC)
111 S FAIRVIEW RD
Rocky Mount, NC 27801
  • Reassigned Medicare billing, North Carolina enrollment
  • 16 clinicians in this Medicare group
NPI 1922020908 (252) 446-3333
Drx High Point, PLLC
125 mi
Multi-Specialty
2305 N MAIN ST
High Point, NC 27262
  • Reassigned Medicare billing, North Carolina enrollment
  • 60 clinicians in this Medicare group
NPI 1669701306 (336) 884-4050

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 11

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
150 services15 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
46 services13 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
45 services36 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
44 services11 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.
43 services36 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
34 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27804 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 16

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

NAPOLEON BRASWELL
Pharmacy Technician
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 316-8220
EMILY MAYE KNIGHT PA-C
Physician Assistant
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 210-9856
AMANPREET SINGH DHALIWAL PA-C
Physician Assistant
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 210-9856
MRS. GLORIA FENNER DAVIS LPC
Counselor (Professional)
300 N GRACE ST, SUITE 228
ROCKY MOUNT, NC 27804
Nash County (252) 908-4120
NANA FOSUWA ARKHURST-ARTHUR DNP, FNP-BC
Nurse Practitioner (Family)
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 210-9856
DR. RITA-KAY MABINE DAVIS M.D.
Psychiatry & Neurology (Psychiatry)
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 210-9856
SHAWANDA NICOLE STRICKLAND
Pharmacy Technician
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 316-8220
JEVITA DENISE TERRY FNP-BC
Nurse Practitioner (Family)
300 N GRACE ST
ROCKY MOUNT, NC 27804
Nash County (252) 210-9856

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 Theodora Desronvil's NPI number?

The NPI number for Theodora Desronvil is 1902394067. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Theodora Desronvil located?

Theodora Desronvil practices at 300 N Grace St, Rocky Mount, NC 27804. The listed phone number is (252) 210-9856.

What is Theodora Desronvil's specialty?

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

Is Theodora Desronvil enrolled in Medicare?

Yes. Theodora Desronvil 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 organizations bill Medicare for Theodora Desronvil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodora Desronvil reassigns Medicare benefits to 2 organizations: Opportunities Industrialization Center, Inc (Rocky Mount, NC) and Drx High Point, PLLC (High Point, NC). Each 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 Theodora Desronvil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodora Desronvil accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Theodora Desronvil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodora Desronvil was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.