Denise Ethel Dernorsek, RN, MS, APRN,BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R034081 Issued in ME

Practice address

BLDG 200 Room 451
1 VA Center
Togus, ME 04330

Phone

(207) 623-8411

Fax

(207) 621-4816

NPI assigned

Jul 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Registered Nurse

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528098266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "BELGRADE LAKES",
            "state": "ME",
            "postal_code": "049180577",
            "telephone_number": "207-495-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 200 ROOM 451",
            "address_2": "1 VA CENTER",
            "city": "TOGUS",
            "state": "ME",
            "postal_code": "04330",
            "telephone_number": "207-623-8411",
            "fax_number": "207-621-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERNORSEK",
        "first_name": "DENISE",
        "middle_name": "ETHEL",
        "name_prefix": "Ms.",
        "credential": "RN, MS, APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R034081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita Jean Ayotte, ANP-C
• Pamela Gail Barter-Chessman, PA
• Gerald L. Brace, RPH.
• John Joseph Farina, RPH
• Joseph Phillip Franciose, LICENSED CLINICAL SO
• Eric Richard Gabrielsen
• Kevin Gill, PA-C
• Bonavy Gusack, PHARM.D.

• Family Nurse Practitioner in Togus, ME
• Providers in Togus, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.