Michael Desantis, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP019328 Issued in PA

Practice address

1135 Lake St
Girard, PA 16417-1049

Phone

(814) 774-3155

Fax

(814) 456-2375

NPI assigned

Sep 25, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.desantis.p1@direct.communityhealthnet.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Net

  • Federally Qualified Health Center (FQHC)
  • Erie, PA
  • NPI 1245209170
  Medicare reassignment NPD
• Community Health Net

  • Federally Qualified Health Center (FQHC)
  • Harborcreek, PA
  • NPI 1336301092
  NPD
• Community Health Net

  • Federally Qualified Health Center (FQHC)
  • Erie, PA
  • NPI 1831484922
  NPD (past)
• Community Health Net

  • Federally Qualified Health Center (FQHC)
  • Erie, PA
  • NPI 1972826626
  NPD (past)
• Community Health Net

  • Federally Qualified Health Center (FQHC)
  • Girard, PA
  • NPI 1992185458
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1023593159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011914",
            "telephone_number": "814-455-7222",
            "fax_number": "814-453-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 LAKE ST",
            "city": "GIRARD",
            "state": "PA",
            "postal_code": "164171049",
            "telephone_number": "814-774-3155",
            "fax_number": "814-456-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "MICHAEL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Caregiving East LLC
• Courage Together LLC
• Tera Cunningham
• Joshua Czerwinski, D.O.
• Matthew Demenik, DPT
• Dennis David Doughty, DDS
• Emily Hosack, LLC
• Erie County Medical Associates
• Brenda Mary Ford, R.PH.
• Katie Walden Geer, LPC

• Family Nurse Practitioner in Girard, PA
• Providers in Girard, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.