Individual provider Active NPI

Nicole Desimone, FNP-C

  • Family Nurse Practitioner
  • Cohasset, MA
National Provider Identifier
1386331973
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2293539 Issued in MA
Practice address
223 Chief Justice Cushing Hwy Ste 101
Cohasset, MA 02025-1391
Phone
(781) 383-6800
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 RN2293539 MA Primary

Addresses

Primary practice location

223 Chief Justice Cushing Hwy Ste 101
Cohasset, MA 02025-1391

Mailing address

223 Chief Justice Cushing Hwy Ste 101
Cohasset, MA 02025-1391
Phone (781) 383-6800

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230817002299 MA Practitioner - Pediatric Medicine 2264894500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2293539MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare South PC CurrentSince Sep 21, 2023 Accepting new patients

Locations

223 Chief Justice Cushing Hwy
Ste 101
Cohasset, MA 02025
Phone (781) 383-6800

56 New Driftway
Ste 301
Scituate, MA 02066
Phone (781) 383-6261

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1386331973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 CHIEF JUSTICE CUSHING HWY STE 101",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251391",
            "telephone_number": "781-383-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 CHIEF JUSTICE CUSHING HWY STE 101",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251391",
            "telephone_number": "781-383-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIMONE",
        "first_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2293539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohasset, MA

Sources for this page

Verify at the official NPI Registry.