Active NPI
Somer C Delsignore, DNP, BC-PNP
- Pediatrics Physician
- Beacon, NY
National Provider Identifier
1043446495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 382024
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03172305 | Medicaid | NY |
Other names 1
- Somer C Phillips
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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bambini Pediatrics | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.