Desiree Smith, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R222153 Issued in MD

Practice address

90 Ritchie Hwy
Pasadena, MD 21122-4303

Phone

(410) 987-2003

NPI assigned

Dec 15, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in DC, MD2 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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Choice Pain and Rehabilitation Center LLCGroup PAC ID 1850534645, 13 clinicians

SNF Physiatry Services MD LLCGroup PAC ID 1052837655, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Choice Pain & Rehabilitation Center, LLC

  • Physical Medicine & Rehabilitation Physician
  • Lanham, MD
  • NPI 1568809598

  DC

  Medicare reassignment Care Compare group NPD
• SNF Physiatry Services MD LLC

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
  • NPI 1508668542

  DC

  Medicare reassignment Care Compare group
• Choice Pain & Rehabilitation Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Newark, DE
  • NPI 1053007898
  NPD

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1740876689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16214 ELLIPSE TER",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163242",
            "telephone_number": "205-480-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224303",
            "telephone_number": "410-987-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DESIREE",
        "name_prefix": "Ms.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2024-06-06",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R222153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Raleigh Sims Jr., PHARMD
• Victoria Skillman
• Ian K Slepian, M.D.
• Smile Sisters, LLC (Baker Sisters Family Dental Care)
• Amber Mendres Smith, MA, BCBA
• Gracemarie Smith, RPH
• Kevon Smith
• Tracy Elaine Soltesz, LAC
• Someone 2 Talk 2, LLC
• Sherry Sood, MD

• Adult Health Nurse Practitioner in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.