Annette Zora Desancic, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

28269006A Issued in IN

Practice address

901 Macarthur Blvd
Munster, IN 46321-2959

Phone

(144) 321-9703

NPI assigned

Feb 14, 2022

Last updated

Mar 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 IN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nwi Medical Associates , LLCGroup PAC ID 4183087257, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Munster, IN, CCN 150125

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

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.

• Nwi Medical Associates , LLC

  • Anesthesiology Physician
  • Munster, IN
  • NPI 1760182554
  Medicare reassignment Care Compare group NPD
• St Catherine Hospital Inc

  • General Acute Care Hospital
  • East Chicago, IN
  • NPI 1396847596
  Medicare reassignment NPD
• Munster Medical Research Foundation Inc

  • Anesthesiology Physician
  • Munster, IN
  • NPI 1982653044
  NPD
• Munster Medical Research Foundation, Inc.

  dba Community Surgery Center Pharmacy

  • Community/Retail Pharmacy
  • Munster, IN
  • NPI 1235209826
  NPD
• St Catherine Hospital Inc

  • Anesthesiology Physician
  • East Chicago, IN
  • NPI 1649346537
  NPD
• St. Catherine Hospital Inc.

  dba St.Catherine Hospital Outpatient Pharmacy

  • Community/Retail Pharmacy
  • East Chicago, IN
  • NPI 1568806057
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munster Medical Research Foundation Inc

  dba Community Hospital

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1003918210
  Care Compare affiliation

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1063167591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E WATERSIDE DR UNIT 3914",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606018035",
            "telephone_number": "734-968-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BLVD",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212959",
            "telephone_number": "144-321-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANCIC",
        "first_name": "ANNETTE",
        "middle_name": "ZORA",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28269006A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Dermody, COTA
• Kristina Marie Derolf, CRNA
• Devendra Desai, M.D.
• Malhar C Desai, RPH
• Varsha A Desai, MD
• Pradnya Deshmukh, P.T.
• Haley Dettloff
• Nicholas Dewit
• Dewnzar Howard MD
• Juan Di Leo Razuk, PT

• Registered Nurse in Munster, IN
• Providers in Munster, IN by specialty
• Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.