Desiree Davis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

351901 Issued in NY

Practice address

63 Lexington Ave
Staten Island, NY 10302-2024

Phone

(917) 830-6908

NPI assigned

Jul 19, 2023

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 NY, CT, VT3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bridge Health PLLCGroup PAC ID 3577000728, 18 clinicians

Daniel Novick MD PLLCGroup PAC ID 0143754341, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Constellation Home Care Home health agency, Syosset, NY, CCN 337447
• Constellation Home Care Home health agency, Norwalk, CT, CCN 077200

Merit-based Incentive Payment System (MIPS)

Final score

21.9 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

73

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: desiree.davis.1@31616.direct.athenahealth.com

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.

• Compassionate Family Health NP, PLLC

  • Primary Care Clinic/Center
  • Albany, NY
  • NPI 1265232417
  Medicare reassignment NPD Authorized official
• Daniel Novick MD PLLC

  • Family Nurse Practitioner
  • Valley Stream, NY
  • NPI 1770327447
  Medicare reassignment Care Compare group NPD
• Bridge Health PLLC

  • Nurse Practitioner
  • Valley Stream, NY
  • NPI 1194574285

  CT, VT

  Medicare reassignment Care Compare group
• North Ocean Medical Group P.C.

  • Internal Medicine Physician
  • Patchogue, NY
  • NPI 1477819001
  NPD

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

• Constellation Home Care LLC

  • Home Health Agency
  • Syosset, NY
  • NPI 1841629698
  Care Compare affiliation
• Constellation Home Care LLC

  • Home Health Agency
  • Norwalk, CT
  • NPI 1194997791
  Care Compare affiliation

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1295415701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N DUNTON AVE",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725542",
            "telephone_number": "347-608-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 LEXINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022024",
            "telephone_number": "917-830-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2024-07-16",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Davino, PHD, LMHC, CASAC
• Shawn A Davis-Edwards, LP-MHC
• Alanna Marie Davis
• Carol N Davis, LCSW
• Courtney Davis, LMHC
• Edward Davis, CASAC
• Hannah Davis
• Latanya B. Davis
• Latoya Davis, LPN
• Lindsay Davis, CRNA

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.
• 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.