Active NPI
Nyrline Desir, FNP
- Family Nurse Practitioner
- Bethpage, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F343594
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200947950 | Medicaid | IN | |
| P01170018 | Other | IN | RR MEDICARE PTAN |
| 34460326 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005002258 | TN | MD | Nurse Practitioner |
| 71002738A | IN | MD | Family Nurse Practitioner |
| F343594 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Nurse Practitioner | Current | Accepting new patients |
| CRH MD Management LLC | Current | Accepting new patients | |
| CRH MD Management, LLC | Current | Accepting new patients | |
| CRH MD Management LLC | Current | Accepting new patients | |
| Medstar Urgent Care, LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Familys Urgent Care | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | 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
- ndesir9063@ecommunitydirect.com
- 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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Clinton, MD
- NPI 1972263143
-
- Urgent Care Clinic/Center
- Fort Washington, MD
- NPI 1841072477
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1922336262
-
- Psychiatric Hospital Unit
- Indianapolis, IN
- NPI 1679545966
-
- Family Nurse Practitioner
- Jeffersonville, IN
- NPI 1811922792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.