Individual provider Active NPI

Denise S. Duplessis, MS, PCNS

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Dudley, MA
National Provider Identifier
1487625083
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
RN166154 Issued in MA
Practice address
161 W Main St
Dudley, MA 01571
Phone
(508) 765-9167
NPI assigned
Jan 31, 2006
Last updated
Jun 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X PPNS0040 RI
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X RN166154 MA Primary
Case Management Registered Nurse 163WC0400X RNCNS21791 RI
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN21791 RI

Addresses

Primary practice location

161 W Main St
Dudley, MA 01571

Mailing address

PO Box 40
Southbridge, MA 01550-0040
Phone (508) 909-7799

Other identifiers 1

IdentifierTypeStateIssuer
DD31513MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050926001233 RI Practitioner - Certified Clinical Nurse Specialist (CNS) 3375577588 Reassigns benefits to 1 organization
I20181101002266 CT Practitioner - Certified Clinical Nurse Specialist (CNS) 3375577588 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
RNCNS21791RIMDCase Management Registered Nurse
RN21791RIMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
RN166154MAMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
PPNS0040RIMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Emma Pendleton Bradley Hospital CurrentSince Jan 29, 2017 Accepting new patients
Natchaug Hospital, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Emma Pendleton Bradley Hospital CurrentSince Jan 29, 2017 Accepting new patients
Gateway Healthcare Inc PastSince May 9, 2021 Accepting new patients

Locations

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

1011 Veterans Memorial Pkwy
Riverside, RI 02915
Phone (401) 432-1000

Interoperability endpoints

  • Direct secure messaging: denise.duplessis@xdr.hhchealthdirect.org

Organizations & group practices 4

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1487625083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015500040",
            "telephone_number": "508-909-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W MAIN ST",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "01571",
            "telephone_number": "508-765-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLESSIS",
        "first_name": "DENISE",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "MS, PCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "RI",
            "license": "PPNS0040",
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "RN166154",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "RI",
            "license": "RNCNS21791",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "RI",
            "license": "RN21791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD31513",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dudley, MA

Sources for this page

Verify at the official NPI Registry.