Christina Deris, MSN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2279807 Issued in MA

Practice address

631 North St # B
Pittsfield, MA 01201-4102

Phone

(413) 499-2054

NPI assigned

Jun 16, 2021

Sex

Female

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 MA

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

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Berkshire Faculty Services Inc

  • Multi-Specialty Clinic/Center
  • Pittsfield, MA
  • NPI 1548212939
  Medicare reassignment NPD
• Fairview Hospital

  dba East Mountain Medical

  • Rural Health Clinic/Center
  • Great Barrington, MA
  • NPI 1881252286
  NPD

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1053989954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HEMLOCK HILL RD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301178",
            "telephone_number": "413-854-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 NORTH ST # B",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014102",
            "telephone_number": "413-499-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERIS",
        "first_name": "CHRISTINA",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2279807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Depippo, M.D.
• Depth Counseling Services P C
• Eleanor Derby Kilfoyle
• Brittany Leigh Derby, DNP
• Ruth Dereus
• Dermdiagnostics PC
• Dennis James Dermody, DMD
• Madeline Despres-Chen
• Nan Desrosiers
• Joan L Devoe, MS, CCC, SLP

• Family Nurse Practitioner in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.