Wislande Derose
Individual provider Active NPI Family Nurse Practitioner · North Babylon, NY
NPI 1023969698 · NPPES record last updated Feb 9, 2026
Key facts
- NPI
- 1023969698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F356190-01 (NY)
- Practice address
- 106 Elkton LN
North Babylon, NY 11703-2905 - Phone
- (347) 856-0086
- NPI assigned
- Feb 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Expert Medical Services LLC
Practice addresses (Care Compare)
35 N Tyson Ave
Suite 100
Floral Park, NY 11001-1403
Phone (718) 276-7935
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F356190-01 | NY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | F356190-01 | NY | Yes |
Addresses
Primary practice location
106 Elkton LN
North Babylon, NY 11703-2905
Mailing address
106 Elkton LN
North Babylon, NY 11703-2905
Other providers in North Babylon, NY
- Deer Park South Shore Podiatry PC
- Deer Park Super Drugs Inc
- Frank Anthony Dellisanti
- Dental Smiles for Kids, LLC
- Valerie Derose
- Julie Devuono
- Jean Dibella
- Jill Lauren Diemer
- Armand Diesso
- Heather R Dishuk
All providers in North Babylon, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.