KIMBERLY DAWN DESANCTIS
NPI 1932614161
Nurse Practitioner - Family in Rumford, ME

Q: What is Kimberly Desanctis's NPI number?

The NPI number for Kimberly Desanctis is 1932614161. It was assigned to this individual provider in the NPPES registry on December 11, 2017.

Q: What is Kimberly Desanctis's specialty?

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

Active since December 11, 2017PECOS EnrolledAccepts Medicare Assignment

430 FRANKLIN ST, RUMFORD, ME 04276(207) 369-0146(207) 364-8626 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Dec 11, 2017 (2 updates tracked since 2017).

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About Kimberly Dawn Desanctis NPPES

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

KIMBERLY DAWN DESANCTIS (NPI 1932614161) is an individual family provider in Rumford, Maine, licensed in Maine (CNP171165) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rumford, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1932614161

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY DAWN DESANCTIS

Location Address430 FRANKLIN STRumford, ME 04276-2104

Mailing Address430 Franklin StRumford, ME 04276-2104 · (207) 369-0146 · Fax (207) 364-8626

Phone(207) 369-0146

Fax(207) 364-8626

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 11, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1932614161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ME · CNP171165

430 FRANKLIN ST, Rumford, ME 04276

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Secondary Practice Location 1

Location 1420 Franklin StRumford, ME 04276-2104 · Phone (207) 369-1000 · Fax (207) 369-4513

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Dawn Desanctis 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 ID7113287756

PECOS Enrollment IDI20180130003019

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 04276 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$7.59 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

JO ANN BROOMHALL PA-C

Physician Assistant