Natalie Suzanne Desantis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9238710 Issued in FL

Practice address

21942 Edgewater Dr
Port Charlotte, FL 33952-9723

Phone

(941) 505-2100

NPI assigned

Nov 9, 2016

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Nurse Practitioner

Education

University of South Florida College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gulfview Medical Institute PLLC 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assisted Home Health Inc Home health agency, Punta Gorda, FL, CCN 683178
• HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: natalie.desantis.1@32762.direct.athenahealth.com

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.

• Gulfview Medical Institute PLLC

  • Family Medicine Physician
  • Port Charlotte, FL
  • NPI 1851680789

  FL

  Medicare reassignment Care Compare group NPD
• Medical Pavilion Clinc

  • Preferred Provider Organization
  • Port Charlotte, FL
  • NPI 1063671683
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Assisted Home Health Inc.

  • Home Health Agency
  • Punta Gorda, FL
  • NPI 1497177604
  Care Compare affiliation
• Fawcett Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1417901406

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1669914453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21942 EDGEWATER DR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529723",
            "telephone_number": "941-505-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21942 EDGEWATER DR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529723",
            "telephone_number": "941-505-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 E Marion Ave",
            "address_2": "Suite 1211",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339503862",
            "country_code": "US",
            "telephone_number": "941-505-2100",
            "fax_number": "941-505-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Harbor Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339525338",
            "country_code": "US",
            "telephone_number": "941-629-9190",
            "fax_number": "941-625-2751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "NATALIE",
        "middle_name": "SUZANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9238710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "DS5131",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP",
            "identifier": "003XX",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Depombo, DO
• Shelley Dereu, LCSW
• Dermatology Group of Florida PA
• Brandon Edward Derouchie, DPT
• Kevin J Desantis, MD
• Diane Marie Desilets, OTR/L
• Brittany Lukeyanna Desyr, DMD
• Pallavi Ravi Devaguptapu, O.T
• Laura M Devore, PMHNP
• Denise Marie Di Luv

• All providers in Port Charlotte, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.