Individual provider Active NPI

Nyrline Desir, FNP

  • Family Nurse Practitioner
  • Bethpage, NY
National Provider Identifier
1851482400
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F343594 Issued in NY
Practice address
1055 Stewart Avenue
Bethpage, NY 11714-3596
Phone
(516) 938-0100
Fax
(516) 938-0120
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71002738A IN
Family Nurse Practitioner 363LF0000X F343594 NY Primary
Nurse Practitioner 363L00000X 2005002258 TN

Addresses

Primary practice location

1055 Stewart Avenue
Bethpage, NY 11714-3596

Mailing address

55 Water Street 2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888

Other practice location 1

8300 E 96th St
Fishers, IN 46037-9795
Phone (318) 621-1290

Other identifiers 3

IdentifierTypeStateIssuer
200947950MedicaidIN
P01170018OtherINRR MEDICARE PTAN
34460326MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ndesir9063@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200210000084 NY Practitioner - Nurse Practitioner 1658373378 Reassigns benefits to 1 organization
I20240401001106 DC Practitioner - Nurse Practitioner 1658373378 Reassigns benefits to 3 organizations
I20240401001381 MD Practitioner - Nurse Practitioner 1658373378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Familys Urgent CareGroup PAC ID 7012258429, 3 clinicians

Practice addresses (Care Compare)

8011 New Hampshire Ave
Hyattsville, MD 20783-4612
Phone (301) 519-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2005002258TNMDNurse Practitioner
71002738AINMDFamily Nurse Practitioner
F343594NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC Nurse Practitioner CurrentSince Nov 11, 2019 Accepting new patients
CRH MD Management LLC CurrentSince Aug 5, 2024 Accepting new patients
CRH MD Management, LLC CurrentSince Aug 5, 2024 Accepting new patients
CRH MD Management LLC CurrentSince Aug 5, 2024 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Feb 14, 2024 Accepting new patients
Medstar Urgent Care LLC CurrentSince Feb 14, 2024 Accepting new patients
Familys Urgent Care CurrentSince Nov 25, 2024 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Advantagecare Physicians PC CurrentSince Nov 11, 2019 Accepting new patients
Community Health Network, Inc. Past Accepting new patients
The Little Clinic of Indiana LLC Family Past Accepting new patients
Community Health Network, Inc Past Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

10845 Town Center Blvd
Ste 108
Dunkirk, MD 20754
Phone (410) 286-7911

8011 New Hampshire Ave
Hyattsville, MD 20783
Phone (301) 519-9200

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

6835 Olney Laytonsville Rd
Laytonsville, MD 20882

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

1055 Stewart Ave
Bethpage, NY 11714
Phone (516) 938-0100

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

55 Water St
Fl 2
New York, NY 10041

Interoperability endpoints

  • Direct secure messaging: ndesir9063@ecommunitydirect.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1851482400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER STREET 2ND FLOOR CRED DEPT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410004",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 STEWART AVENUE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143596",
            "telephone_number": "516-938-0100",
            "fax_number": "516-938-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 E 96th St",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460379795",
            "country_code": "US",
            "telephone_number": "318-621-1290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESIR",
        "first_name": "NYRLINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002738A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343594",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "2005002258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200947950",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P01170018",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34460326",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndesir9063@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "8300 E 96th St",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460379795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

Verify at the official NPI Registry.