Palak Praful Desai, CRNP
Individual provider Active NPI Family Nurse Practitioner · Newark, DE
NPI 1992291280 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1992291280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- LG-0001161 (DE)
- Practice address
- 620 Stanton Christiana Rd Ste 202
Newark, DE 19713-2130 - Phone
- (302) 384-7439
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 PA
Practice addresses (Care Compare)
620 Stanton Christiana Rd
Suite 202
Newark, DE 19713-2130
Phone (302) 384-7439
Hospital & facility affiliations
- Christiana Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.95 of 100
- Quality
- 81.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180829003326 | DE | Practitioner - Nurse Practitioner | 7517217292 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0001161 | DE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advancexing Pain and Rehabilitation Clinic PA | Current |
Accepting new patients | |
| Medexpress, Inc - Delaware | Past | Accepting new patients |
Locations
1 Chestnut Hill Plz
Ste C
Newark, DE 19713
Phone (302) 266-0930
620 Stanton Christiana Rd
Ste 202
Newark, DE 19713
Phone (302) 384-7439
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0001161 | DE | Yes |
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
Other providers in Newark, DE
- Richard J Derman
- Kyle Joseph Derowski
- Laura R Derricott
- Dev Desai
- Mehir Desai
- Praful Desai
- Brandon Desantis
- Colleen Deturk
- Karly Deutsch
- Catherine Devaney McKay
All providers in Newark, DE · Family Nurse Practitioner in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.