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MRS. MANOUCHEKA DESORMES-IGNACE
NPI 1962350645
Nurse Practitioner - Family in Southborough, MA

Active since March 19, 2026PECOS Enrolled
24 NEWTON ST, SOUTHBOROUGH, MA 01772(508) 460-3250(508) 453-8152 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Apr 25, 2026, Mar 19, 2026 (3 updates tracked since 2026).

About Mrs. Manoucheka Desormes-ignace NPPES

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

MRS. MANOUCHEKA DESORMES-IGNACE (NPI 1962350645) is an individual family provider in Southborough, Massachusetts, licensed in Massachusetts (RN252988) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1962350645
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MANOUCHEKA DESORMES-IGNACE
Location Address24 NEWTON STSouthborough, MA 01772-1215
Mailing Address24 Newton StSouthborough, MA 01772-1215 · (508) 460-3250 · Fax (508) 453-8152
Phone(508) 460-3250
Fax(508) 453-8152
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 19, 2026
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1962350645 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 MA · RN252988
24 NEWTON ST, Southborough, MA 01772
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Manoucheka Desormes-ignace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436627940
PECOS Enrollment IDI20260504005536
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 01772 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

FRANK CHAU M.D.
Internal Medicine
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-3250
HANNA MARGARET BERRY NP
Nurse Practitioner (Family)
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 481-5500
CATHERINE ANNE LANG PHARMD
Pharmacist
24 NEWTON ST, WALGREENS PHARMACY
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-5323
AMEE RATHOD M.D.
Internal Medicine
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 481-5500
JUSTIN NATHANIEL DORFMAN D.O.
Internal Medicine
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-3250
MARIJEAN LAMOUREAUX RD,LDN,CDE
Dietitian, Registered (Nutrition, Pediatric)
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-3100
DR. MAI CHU O.D.
Optometrist
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (084) 603-1505
GRACE C WINSHIP NP
Nurse Practitioner (Family)
24 NEWTON ST
SOUTHBOROUGH, MA 01772
Worcester County (508) 460-3250

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 Manoucheka Desormes-ignace's NPI number?

The NPI number for Manoucheka Desormes-ignace is 1962350645. It was assigned to this individual provider in the NPPES registry on March 19, 2026.

Where is Manoucheka Desormes-ignace located?

Manoucheka Desormes-ignace practices at 24 Newton St, Southborough, MA 01772. The listed phone number is (508) 460-3250.

What is Manoucheka Desormes-ignace's specialty?

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

Is Manoucheka Desormes-ignace enrolled in Medicare?

Yes. Manoucheka Desormes-ignace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manoucheka Desormes-ignace was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.