Individual provider Active NPI

Somer C Delsignore, DNP, BC-PNP

  • Pediatrics Physician
  • Beacon, NY
National Provider Identifier
1043446495
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
382024 Issued in NY
Practice address
291 Main St Ste 101
Beacon, NY 12508-2899
Phone
(845) 592-0727
Fax
(346) 559-2837
NPI assigned
May 29, 2009
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5006326 NC
Critical Care Pediatric Nurse Practitioner 363LP0222X 382024 NY
Pediatrics Physician 208000000X 382024 NY Primary

Addresses

Primary practice location

291 Main St Ste 101
Beacon, NY 12508-2899

Mailing address

15 Trinity Way
Lagrangeville, NY 12540-5219
Phone (845) 891-6312

Other identifiers 1

IdentifierTypeStateIssuer
03172305MedicaidNY

Other names 1

  • Somer C Phillips Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bambini Pediatrics Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: somer.delsignore.1@28497.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1043446495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TRINITY WAY",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405219",
            "telephone_number": "845-891-6312",
            "fax_number": "349-559-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 MAIN ST STE 101",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082899",
            "telephone_number": "845-592-0727",
            "fax_number": "346-559-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELSIGNORE",
        "first_name": "SOMER",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "DNP, BC-PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5006326",
            "primary": false
        },
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "NY",
            "license": "382024",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "382024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03172305",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOMER",
            "last_name": "PHILLIPS",
            "middle_name": "C",
            "credential": "DNP, PPCNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beacon, NY

Sources for this page

Verify at the official NPI Registry.