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

MS. Jeanna M Desisto, NURSEPRACTITIONER

Individual provider Acute Care Nurse Practitioner · NPI 1063285666

MS. Jeanna M Desisto, NURSEPRACTITIONER is a Nurse Practitioner in New York, New York. Qualified in 2013, 13 years ago. Practices with Bon Secours Charity Health System Medical Group, PC, a 158-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

1468 Madison Ave
New York, NY 10029-6508
Phone: (212) 241-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence F432777 (NY)

Record details

NPI number1063285666
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedNovember 6, 2023
Last updated in NPPESNovember 6, 2023
Certification dateNovember 4, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Bon Secours Charity Health System Medical Group, P.C. — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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