Sarah Desilet, NP
Individual provider Active NPI Gerontology Nurse Practitioner · Fairhaven, MA
NPI 1457758591 · NPPES record last updated Sep 8, 2024
Key facts
- NPI
- 1457758591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- RN2294421 (MA)
- Practice address
- 200 Mill Rd Ste 120
Fairhaven, MA 02719-5252 - Phone
- (508) 973-3200
- NPI assigned
- Dec 3, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southcoast Physicians Group Inc
Practice addresses (Care Compare)
200 Mill Rd
Suite 190
Fairhaven, MA 02719-5259
Phone (508) 973-0857
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240709000393 | MA | Practitioner - Nurse Practitioner | 5799220364 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients |
Locations
200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000
200 Mill Rd
Ste 120
Fairhaven, MA 02719
Phone (508) 973-3200
200 Mill Rd
Ste 190
Fairhaven, MA 02719
Phone (508) 973-0857
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
Interoperability endpoints
- sdesilet77779@direct.southcoast.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN2294421 | MA | Yes |
Addresses
Primary practice location
200 Mill Rd Ste 120
Fairhaven, MA 02719-5252
Mailing address
200 Mill Rd
Fairhaven, MA 02719-5252
Phone (508) 973-2000
Other names
- Sarah Benson
Other providers in Fairhaven, MA
- Lilibeth Almerol Dayao
- Sonia Dearaujo
- Susan Lynne Debalsi
- Richard D Demopoulos
- Jason Demoranville
- Dr. Marysarah Frank Lasting Impression Psychotherapy LLC
- Jennifer Ann Ducie
- Carolyn Ariel Duncan
- Julie Ann Eccleston
- Nancy Emerson
All providers in Fairhaven, MA · Gerontology Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.