Individual provider Active NPI

Palak Praful Desai, CRNP

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1992291280
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0001161 Issued in DE
Practice address
620 Stanton Christiana Rd Ste 202
Newark, DE 19713-2130
Phone
(302) 384-7439
NPI assigned
Jul 10, 2018
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0001161 DE Primary

Addresses

Primary practice location

620 Stanton Christiana Rd Ste 202
Newark, DE 19713-2130

Mailing address

620 Stanton Christiana Rd Ste 202
Newark, DE 19713-2130
Phone (302) 384-7439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20180829003326 DE Practitioner - Nurse Practitioner 7517217292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advancexing Pain and Rehabilitation Clinic PAGroup PAC ID 0648237537, 4 clinicians

Practice addresses (Care Compare)

620 Stanton Christiana Rd
Suite 202
Newark, DE 19713-2130
Phone (302) 384-7439

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as apm
Quality
81.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0001161DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advancexing Pain and Rehabilitation Clinic PA CurrentSince Jan 29, 2021 Accepting new patients
Medexpress, Inc - Delaware Past Accepting new patients

Locations

620 Stanton Christiana Rd
Ste 202
Newark, DE 19713
Phone (302) 384-7439

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1992291280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD STE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132130",
            "telephone_number": "302-384-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD STE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132130",
            "telephone_number": "302-384-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "PALAK",
        "middle_name": "PRAFUL",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.