Desire L Ayissi

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61531156 Issued in WA

Practice address

5319 Lees Crossing Dr Apt 2
Cincinnati, OH 45239-7684

Phone

(513) 328-5933

NPI assigned

Jul 16, 2013

Sex

Male

Sole proprietor

Yes

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.

• Jefferson Physician Services, PLLC

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1598546764

  Nurse Practitioner, TX

  Medicare reassignment Care Compare group NPD
• South Sound Inpatient Physicians PLLC

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1023285756

  Nurse Practitioner, WA

  Medicare reassignment Care Compare group NPD
• Houston Methodist Specialty Physicians

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1902614332

  TX

  Medicare reassignment NPD
• South Sound Inpatient Physicians PLLC

  • Internal Medicine Physician
  • Hillsboro, OR
  • NPI 1508023789
  Care Compare group NPD
• South Sound Inpatient Physicians, PLLC

  • Hospitalist Physician
  • Silverdale, WA
  • NPI 1063854859
  NPD
• Commonspirit Washington Community Care

  • General Acute Care Hospital
  • Silverdale, WA
  • NPI 1518912609
  NPD (past)
• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225
  NPD (past)
• TMH Physician Associates PLLC

  • Orthopaedic Surgery Physician
  • Pearland, TX
  • NPI 1386827442
  NPD (past)

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

• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888

  Hospital

  Care Compare affiliation
• Commonspirit Washington Community Care

  • General Acute Care Hospital
  • Silverdale, WA
  • NPI 1518912609

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Sound Inpatient Physicians PLLC 424 clinicians

Jefferson Physician Services, PLLC 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Medicare fee-for-service enrollment

Enrolled in WA, TX2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dayissi621911@christushealth.direct-ci.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2024.

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1922449065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 LEES CROSSING DR APT 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397684",
            "telephone_number": "513-328-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 LEES CROSSING DR APT 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397684",
            "telephone_number": "513-328-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYISSI",
        "first_name": "DESIRE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61531156",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "386099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnae L Ayers
• Ronald G Ayers, LICENSED CONTRACTOR
• Tamara Ayers, RN
• Tara Ayers
• William Bradley Ayers, PA-C
• Koffi Mensah Ayitsewou, LPN
• Mary A Ayoki-Onyancha, MSW LSW
• Bassam Ayoub
• Emmy Ayres
• Rama S. Ayyala, MD

• All providers in Cincinnati, OH
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.