Americus J Desantis, CRNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Glenshaw, PA
NPI 1528096427 · NPPES record last updated Feb 12, 2008
Key facts
- NPI
- 1528096427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- VP002288C (PA)
- Practice address
- 1831 Vollmer Dr
Glenshaw, PA 15116-2160 - Phone
- (412) 487-2720
- Fax
- (412) 692-4223
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.94 of 100
- Quality
- 61.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.58
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20031126000047 | PA | Practitioner - Nurse Practitioner | 5294639696 |
Reassigns benefits to 2 organizations Practice locations: Pittsburgh, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VP002288C | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Presbyterian Shadyside | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Upmc Presbyterian Shadyside | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current |
Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
200 Lothrop St
#4E
Pittsburgh, PA 15213
Phone (412) 692-4200
3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000
Interoperability endpoints
- americus.j.desantis@upmcdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | VP002288C | PA | Yes |
Addresses
Primary practice location
1831 Vollmer Dr
Glenshaw, PA 15116-2160
Mailing address
1831 Vollmer Dr
Glenshaw, PA 15116-2160
Phone (412) 487-2720
Other providers in Glenshaw, PA
- Nuket Curran
- Autumn Daquelente
- Gina L Della Valle
- Jacqueline Demoise
- Nicole C Derenzo
- Linda Detrick
- Mikayla Lee Diak
- Mary-Jo Dickinson
- Dietitian Jess Nutrition
- Kimberly Digiacobbe
All providers in Glenshaw, PA · Psychiatric/Mental Health Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2008. 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.