Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Desiree Nichole Mytych

Individual provider Nurse Practitioner · NPI 1235746686

Desiree Nichole Mytych is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2020, 6 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 856-3155
Fax: (508) 856-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 85 Prescott St, Worcester, MA 01605-2610 — (508) 856-3155

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2298645 (MA)

Record details

NPI number1235746686
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 29, 2020
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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