Individual provider Active NPI

Desirae Ann Kenosky, CRNP

  • Family Nurse Practitioner
  • Stroudsburg, PA
National Provider Identifier
1235891433
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024271 Issued in PA
Practice address
28 N 7TH St
Stroudsburg, PA 18360-2110
Phone
(570) 599-8699
Fax
(570) 213-5514
NPI assigned
Oct 6, 2021
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024271 PA Primary

Addresses

Primary practice location

28 N 7TH St
Stroudsburg, PA 18360-2110

Mailing address

28 N 7TH St
Stroudsburg, PA 18360-2110
Phone (570) 599-8699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20251202001326 PA Practitioner - Nurse Practitioner 3678066362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1565 Linden St
Bethlehem, PA 18017-4744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024271PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novus Adult Care Services Inc. CurrentSince Sep 20, 2025 Accepting new patients

Locations

28 N 7th St
Stroudsburg, PA 18360
Phone (570) 424-8306

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1235891433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N 7TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602110",
            "telephone_number": "570-599-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N 7TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602110",
            "telephone_number": "570-599-8699",
            "fax_number": "570-213-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENOSKY",
        "first_name": "DESIRAE",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.